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Contact Information

CHRISTINA G BACON, MS, LPP
292 GLADES RD STE 8
BEREA, KY40403
 Phone: 859-985-7862
 Fax: 859-972-0616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHRISTINA G BACON · (Female)

NPI # 1487704649
Status Active
Credentials MS, LPP
Entity Individual
Enumeration date 01/11/2007
Last updated 09/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 137685
  • KY License # 247601
  • KY Medicaid 7100610370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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