Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK BACON
Active Sole ProprietorDERRICK BACON is a Mental Health Counselor healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1083102180 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1083102180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2018 (8.1204741204687 yrs)
- Last Updated
- Apr 25, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
906 69TH AVEPHILADELPHIA, PA, 191262909Browse PA providers · Browse ZIP 19126
- Phone
- 2153008111
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MAXIMILIEN RODOLFO ESPINAL | MD | 1659334407 |
| PATRICIA S CORREA-ILLIDGE | LSW | 1598715179 |
| SHARON GREEN | LCSW | 1336191923 |
| ALISHA KATZ | LCSW | 1518906379 |
| ELIZABETH ANN BYRNE | LPC | 1881636934 |
| CAROL CAMPBELL | PHD | 1972545192 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.