NPI Index

MS. JANE BACON, MA LP LMFT

Marriage & Family Therapist

Active Individual
NPI: 1801968094

Practice Address

1280 NORTH BIRCH LAKE BLVD
WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER
White Bear Lake, MN 55110

Phone: (651) 429-8544

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X No LP2821 (MN)
Marriage & Family Therapist 106H00000X Yes 320 (MN)

Frequently Asked Questions

NPI 1801968094 is the National Provider Identifier for MS. JANE BACON, MA LP LMFT, a Marriage & Family Therapist provider located in White Bear Lake, MN. This NPI was enumerated on November 14, 2006.
MS. JANE BACON, MA LP LMFT practices at 1280 NORTH BIRCH LAKE BLVD, WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, White Bear Lake, MN 55110.

Quick Facts

NPI
1801968094
Type
Individual
Enumerated
Nov 14, 2006
Last Updated
Sep 11, 2025

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