JENNIE BACON

MERIDIAN, ID
NPI1952016701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC-8077)
Enumeration Date2023-01-17
Last Update Date2023-01-17
Business Address
JENNIE BACON
1519 N MAIN ST # 110
MERIDIAN, ID 83642-1717
Phone number: 208-724-8284
Mailing Address
JENNIE BACON
1628 S LOGGERS POND PL APT 13
BOISE, ID 83706-6599
Phone number: 208-724-8284
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