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Lawrence Bacon, LCASA, LCMHCA

NPI 1376211193 · on the registry since 2021 · sole proprietor

Practice

Address
229 Century Blvd Apt 47a
Kernersville, NC 27284
Phone
(336) 257-9384

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-11

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 North Carolina