person
Lawrence Allen Bacon, LCASA,LCMHCA
Professional Counselor in Kernersville, North Carolina
NPI 1376211193

Lawrence Allen Bacon is a Professional Counselor based in Kernersville, NC and is specialized in Professional. Lawrence Allen Bacon practices in Kernersville, NC and has the professional credentials of LCASA,LCMHCA. The NPI Number for Lawrence Allen Bacon is 1376211193 and holds a License No. LCAS-27641 (North Carolina).

The current practice location address for Lawrence Allen Bacon is 229 Century Blvd Apt 47A, Kernersville, NC and can be reached out via phone at 336-257-9384.

Location: 229 Century Blvd Apt 47A, Kernersville, NC, 27284-4038
person
Provider Profile Details
NPI Number
1376211193
Provider Name
Lawrence Allen Bacon
Credential
LCASA,LCMHCA
Provider Entity Type
Individual
Gender
Male
Address
229 Century Blvd Apt 47A, Kernersville, NC, 27284-4038
Phone Number
336-257-9384
Fax Number
Provider Enumeration Date
09/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
229 Century Blvd Apt 47A
City
State
Zip
27284-4038
Phone Number
336-257-9384
Fax Number
person
Provider Business Mailing Address Details
Address
229 Century Blvd Apt 47A
City
State
Zip
27284-4038
Phone Number
336-257-9384
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCAS-27641 (North Carolina)
Definition
Definition to come...
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