| Mrs Christina G Bacon, MS, LPP | |
|
292 Glades Rd Ste 8, Berea, KY 40403 | |
| (859) 985-7862 | |
| (859) 972-0616 |
| Full Name | Mrs Christina G Bacon |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 292 Glades Rd Ste 8, Berea, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487704649 | NPI | - | NPPES |
| 7100610370 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 137685 (Kentucky) | Secondary |
| 103TC1900X | Psychologist - Counseling | 247601 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 247601 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christina G Bacon, MS, LPP 212 Oak Branch Dr, Berea, KY 40403-9581 Ph: (859) 302-1768 | Mrs Christina G Bacon, MS, LPP 292 Glades Rd Ste 8, Berea, KY 40403 Ph: (859) 985-7862 |
Mrs. Annette A Freel, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 164 Plaza Dr., Suite D, Berea, KY 40403 Phone: 859-200-1990 Fax: 859-986-0544 | |
Dr. Jennifer Elam, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300a Harrison Rd, Berea, KY 40403 Phone: 484-832-4576 |