Search › Minnesota › 101YA0400X
Del Bacon, LADC
NPI 1760772586 · on the registry since 2011
Practice
- Address
- 645 3rd Ave Sw
Pine City, MN 55063 - Phone
- (320) 629-1362
- Fax
- (320) 629-3454
- Organisation at this address
- Avalon Meridian Behavioral Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-13
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 Minnesota