Individual
KATIE LEE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MASTER OF ARTS
Contact information
Practice address
7501 O ST, SUITE 100, LINCOLN, NE 68510-2485
(402) 477-0651
(402) 477-0332
Mailing address
7501 O ST STE 100, LINCOLN, NE 68510-2485
(402) 477-0651
(402) 477-0332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3399
NE
101YP2500X
Professional Counselor
1721
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96065
BCBS
NE
Enumeration date
02/05/2007
Last updated
12/08/2023
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