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Mr. George Albert Bacon JR., LCMHCS,LCAS
Addiction (Substance Use Disorder) Counselor in Winterville, North Carolina
NPI 1609599711

George Albert Bacon JR. is an Addiction (Substance Use Disorder) Counselor based in Winterville, NC and is specialized in Addiction (Substance Use Disorder). George Albert Bacon JR. practices in Winterville, NC and has the professional credentials of LCMHCS,LCAS. The NPI Number for George Albert Bacon JR. is 1609599711 and holds a License No. S9005 (North Carolina).

The current practice location address for George Albert Bacon JR. is 2201 Seagrave Dr, Winterville, NC and can be reached out via phone at 252-341-2761.

Location: 2201 Seagrave Dr, Winterville, NC, 28590-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609599711
Provider Name
George Albert Bacon JR.
Credential
LCMHCS,LCAS
Provider Entity Type
Individual
Gender
Male
Address
2201 Seagrave Dr, Winterville, NC, 28590-0119
Phone Number
252-341-2761
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Seagrave Dr
City
Winterville
State
North Carolina
Zip
28590-0119
Phone Number
252-341-2761
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Seagrave Dr
City
Winterville
State
North Carolina
Zip
28590-0119
Phone Number
252-341-2761
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LCAS-2748 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
S9005 (North Carolina)
Definition
Definition to come...
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