Bacon, Jesse

Bacon, Jesse is an individual health care provider with primary practice located at 18303 E 10 Mile Rd Ste 200 , Roseville MI 48066-4989. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Bacon, Jesse can be contacted via phone (586) 745-0116.

Contact Information

Primary practice address
18303 E 10 Mile Rd Ste 200 Roseville MI 48066-4989
Phone: (586) 745-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801095708 Michigan

Profile Details

NPI number 1548605173
LBN Legal business name Bacon, Jesse
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated Sep 19th, 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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