KRISTA BACON

VANCOUVER, WA
NPI1770952699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: WA  PY61395594)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: WA  PY61395594)
Enumeration Date2015-09-21
Last Update Date2023-09-18
Business Address
Dr. KRISTA BACON
4001 MAIN ST STE 218
VANCOUVER, WA 98663-1888
Phone number: 360-777-6915
Mailing Address
Dr. KRISTA BACON
4001 MAIN STREET SUITE 218, BOX 7
VANCOUVER, WA 98663-1888
Phone number: