NATALIE BACON

MEDFORD, OR
NPI1467125450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-891)
Enumeration Date2021-07-27
Last Update Date2021-07-27
Business Address
Mrs. NATALIE BACON
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
Mrs. NATALIE BACON
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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