Search › Pennsylvania › Mental Health Counselor
Derrick Bacon
NPI 1083102180 · on the registry since 2018 · sole proprietor
Practice
- Address
- 906 69th Ave
Philadelphia, PA 19126 - Phone
- (215) 300-8111
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2018-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania