MARYANN BACON

SUSANVILLE, CA
NPI1124216627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
-- MARYANN BACON
1410 CHESTNUT ST
SUSANVILLE, CA 96130-3719
Phone number: 530-251-8112
Mailing Address
-- MARYANN BACON
1410 CHESTNUT ST
SUSANVILLE, CA 96130-3719
Phone number: 530-251-8112
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