NPI 1235351032 · live from the CMS NPI Registry
Erika Gore Bacon, MA, ATR-BC, LCMHC
Counselor, Mental Health in Hanover, NH. National Provider Identifier 1235351032, active.
NPI record
| NPI | 1235351032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 16 Kingsford Rd, Hanover, NH 03755 |
| Practice phone | 603-643-6013 |
| Mailing address | 7 Rope Ferry Rd, Hanover, NH 03755 |
| Enumerated | May 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 0680000421 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.