Edward Bacon, LCPC
NPI #1396252649 in Decatur, Illinois
Provider Information
- NPI Number
- 1396252649
- Entity Type
- Individual
- Name
- Edward Bacon, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jan 9, 2018
- Last Updated
- Jan 9, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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