person
Edward Bacon, LCPC
Professional Counselor in Decatur, Illinois
NPI 1396252649

Edward Bacon is a Professional Counselor based in Decatur, IL and is specialized in Professional. Edward Bacon practices in Decatur, IL and has the professional credentials of LCPC. The NPI Number for Edward Bacon is 1396252649 and holds a License No. 180.011347 (Illinois).

The current practice location address for Edward Bacon is 790 E Mound Rd, Decatur, IL and can be reached out via phone at 309-323-8988. You can also correspond with Edward Bacon through the mailing address at 2552 LANSDOWNE DR, DECATUR, IL - 62521-4972 (mailing address contact number: ).

Location: 790 E Mound Rd, Decatur, IL, 62521-4972
person
Provider Profile Details
NPI Number
1396252649
Provider Name
Edward Bacon
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
790 E Mound Rd, Decatur, IL, 62521-4972
Phone Number
309-323-8988
Fax Number
Provider Enumeration Date
01/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
790 E Mound Rd
City
State
Zip
62526-1951
Phone Number
309-323-8988
Fax Number
person
Provider Business Mailing Address Details
Address
790 E Mound Rd
City
State
Zip
62526-1951
Phone Number
309-323-8988
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.011347 (Illinois)
Definition
Definition to come...
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