Bacon, Donna R.

Bacon, Donna R. is an individual health care provider with primary practice located at 5955 Zeamer Avenue 673D Mdg, Jber AK 99506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bacon, Donna R. can be contacted via phone (907) 580-8094.

Contact Information

Primary practice address
5955 Zeamer Avenue 673D Mdg Jber AK 99506
Phone: (907) 580-8094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 387 Alaska

Profile Details

NPI number 1801872387
LBN Legal business name Bacon, Donna R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 19th, 2013 - about 13 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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