Search › Illinois › 101YP2500X
Edward Bacon, LCPC
NPI 1396252649 · on the registry since 2018 · sole proprietor
Practice
- Address
- 790 E Mound Rd
Decatur, IL 62526 - Phone
- (309) 323-8988
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-09
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 Illinois