Individual
MS. REBECCA CORALYN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
189 S STATE ST, STE 160, CLEARFIELD, UT 84015-1061
(801) 773-2044
(801) 773-4826
Mailing address
189 S STATE ST, STE 160, CLEARFIELD, UT 84015-1061
(801) 773-2044
(801) 773-4826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78488768-6009
UT
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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