Bacon, Christina G
Bacon, Christina G is an individual health care provider with primary practice located at 292 Glades Rd Ste 8 , Berea KY 40403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bacon, Christina G can be contacted via phone (859) 985-7862.Contact Information
Primary practice address
292 Glades Rd Ste 8
Berea KY 40403
Phone: (859) 985-7862
Fax: (859) 972-0616
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 137685 | Kentucky |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 247601 | Kentucky |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 247601 | Kentucky |
Profile Details
NPI number | 1487704649 |
---|---|
LBN Legal business name | Bacon, Christina G |
Credentials | MS, LPP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2007 |
Last updated | Sep 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487704649 | NPPES |
Kentucky | MEDICAID | 7100610370 |
Popular Providers
-
Bardwell, Debbie
920 N Argonne Rd Ste 207 , Spokane Valley WA 99212-2721 -
Kammen, Robert H
250 Pierce St Ste 214, Kingston PA 18704-5149 -
Elam, Jennifer
300A Harrison Rd , Berea KY 40403-1775 -
Waters, Linda G.
4940 Van Nuys Bl. #302, Sherman Oaks CA 91403 -
Dove, William R
224 E Willamette Ave , Colorado Springs CO 80903-1114 -
Byrne, Claudia
1500 Nw Bethany Blvd Ste 200 , Beaverton OR 97006-5236 -
Kronsnoble, Kristin M
409 Bayshore Blvd , Tampa FL 33606-2707 -
Boothe, Jason
4310 James Casey St Bldg 2, Austin TX 78745-1120