Bacon, Loretta Mae
Bacon, Loretta Mae is an individual health care provider with primary practice located at 2200 Cottingham Dr , Montgomery AL 36106-3509. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bacon, Loretta Mae can be contacted via phone (334) 272-5245.Contact Information
Primary practice address
2200 Cottingham Dr
Montgomery AL 36106-3509
Phone: (334) 272-5245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 008 | Alabama |
Profile Details
| NPI number | 1003874843 |
|---|---|
| LBN Legal business name | Bacon, Loretta Mae |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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