Bacon, Gayla

Bacon, Gayla is an individual health care provider with primary practice located at 7610 40Th St W Ste 300 , University Place WA 98466-3834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bacon, Gayla can be contacted via phone (253) 307-5713.

Contact Information

Primary practice address
7610 40Th St W Ste 300 University Place WA 98466-3834
Phone: (253) 307-5713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831371608
LBN Legal business name Bacon, Gayla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Nov 30th, 2018 - about 6 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.

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