Jennie Bacon
Jennie Bacon is a Counselor in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
1519 N Main St # 110Meridian, ID 83642-1717
Phone: (208) 724-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LPC-8077 (ID) |
|---|
Record details
| NPI number | 1952016701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2023 |
| Last updated in NPPES | January 17, 2023 |
| Certification date | January 17, 2023 |
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