Individual
SEEMA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR, LPC
Contact information
Practice address
2111 E BASELINE RD STE D2, TEMPE, AZ 85283
(480) 307-6446
Mailing address
2111 E BASELINE RD STE D2, TEMPE, AZ 85283-1520
(480) 307-6446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15404
AZ
Other
Enumeration date
04/15/2016
Last updated
06/11/2019
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