JESSIE BACON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1750507604
Practice Address
MISSION ROAD BLDING 248FORT HALL INDIAN AGENCY
Fort Hall, ID 83203
Phone: (208) 237-5631
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LCSW-32218 (ID) |
Frequently Asked Questions
NPI 1750507604 is the National Provider Identifier for JESSIE BACON, LCSW, a Social Worker - Clinical provider located in Fort Hall, ID. This NPI was enumerated on April 18, 2007.
JESSIE BACON, LCSW practices at MISSION ROAD BLDING 248, FORT HALL INDIAN AGENCY, Fort Hall, ID 83203.
Quick Facts
- NPI
- 1750507604
- Type
- Individual
- Enumerated
- Apr 18, 2007
- Last Updated
- Mar 18, 2024
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