Individual
CHRISTINE ELIZABETH BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 BULGARMARSH RD, TIVERTON, RI 02878-3805
(774) 325-8193
Mailing address
291 BULGARMARSH RD, TIVERTON, RI 02878-3805
(774) 325-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
01/23/2024
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