Courtney Bacon-latina, LPC is a mental health counselor in Malvern, AR. Courtney Bacon-latina, LPC NPI is 1922649532. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
829 HALBERT ST
MALVERN, AR
ZIP 72104-607
Phone: (501) 332-4400
Fax: (501) 332-4403
The NPI 1922649532 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 10/4/2019 and was last updated on 4/1/2022.