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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL R BACON, LPC

Active

RANDALL R BACON, LPC is a Professional Counselor healthcare provider located in KIRKSVILLE, Missouri. NPI 1265577613 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · KIRKSVILLE, MO

Registration Details

NPI Number
1265577613
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2007 (19.441708728031 yrs)
Last Updated
Jul 8, 2007
License
2001025449 (MO)

Practice Information

Address
1101 JAMISON ST
KIRKSVILLE, MO, 635013943
Browse MO providers · Browse ZIP 63501
Phone
6606651962
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in KIRKSVILLE, MO

Name Credential NPI
MRS. ROBIN J LUKEFAHR LPC 1477648715
SUSAN H ABRAHAMS MA, NCC, LPC 1790840460
MS. TRICIA KAY BROWN PH.D. 1164577813
WILLIAM NORTON LPC 1326187956
LAURA E NICKELSON MA, LPC 1235259664
MR. TRACY RYAN PARKS LPC 1245444058
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.