| Lisa Michelle Bacon, LMHC | |
|
710 Route 28, Harwich Port, MA 02646-1931 | |
| (508) 237-0057 | |
| Not Available |
| Full Name | Lisa Michelle Bacon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 710 Route 28, Harwich Port, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861629677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC3045 (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | 9682 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Michelle Bacon, LMHC Po Box 309, Harwich, MA 02645-0309 Ph: (774) 316-2484 | Lisa Michelle Bacon, LMHC 710 Route 28, Harwich Port, MA 02646-1931 Ph: (508) 237-0057 |
Kelly Connolly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Route 28, Harwich Port, MA 02646 Phone: 508-905-2856 | |
Kerry Darling, Counselor Medicare: Medicare Enrolled Practice Location: 466 Route 28, Harwich Port, MA 02646 Phone: 508-778-1839 | |
Thomas Jared Butler, MS, CAGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Route 28, Harwich Port, MA 02646 Phone: 508-432-1400 Fax: 508-487-6298 |