DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MICHELLE BACON, LMHC

Active Sole Proprietor

Mental Health Counselor · HARWICH PORT, MA

Registration Details

NPI Number
1861629677
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2009 (16.891141626674 yrs)
Last Updated
Feb 16, 2024
Licenses
LC3045 (MD)
9682 (MA)
Sole Proprietor
Yes

Practice Information

Address
710 ROUTE 28
HARWICH PORT, MA, 026461931
Browse MA providers · Browse ZIP 02646
Phone
5082370057
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in HARWICH PORT, MA

Name Credential NPI
THOMAS JARED BUTLER MS, CAGS 1831514405
KERRY DARLING 1578932588
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.