person
Randall R Bacon, LPC
Professional Counselor in Kirksville, Missouri
NPI 1265577613

Randall R Bacon is a Professional Counselor based in Kirksville, MO and is specialized in Professional. Randall R Bacon practices in Kirksville, MO and has the professional credentials of LPC. The NPI Number for Randall R Bacon is 1265577613 and holds a License No. 2001025449 (Missouri).

The current practice location address for Randall R Bacon is 1101 Jamison St, Kirksville, MO and can be reached out via phone at 660-665-1962.

Location: 1101 Jamison St, Kirksville, MO, 63501-4520
person
Provider Profile Details
NPI Number
1265577613
Provider Name
Randall R Bacon
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1101 Jamison St, Kirksville, MO, 63501-4520
Phone Number
660-665-1962
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1101 Jamison St
City
State
Zip
63501-3943
Phone Number
660-665-1962
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Jamison St
City
State
Zip
63501-3943
Phone Number
660-665-1962
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2001025449 (Missouri)
Definition
Definition to come...
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