Individual
CHELSYE R BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMII
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 230-1154
(405) 552-2611
Mailing address
3000 E INDIAN HILLS RD, NORMAN, OK 73071-7939
(580) 756-7383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
318512
OK
Other
Enumeration date
08/21/2017
Last updated
05/27/2025
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