Randall Bacon, LPC

NPI 1265577613 · on the registry since 2007

Practice

Address: 1101 Jamison St
Kirksville, MO 63501
Phone: (660) 665-1962
Organisation at this address: Preferred Family Healthcare, Inc.
Preferred Family Healthcare, Inc.
Preferred Family Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Missouri