Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A BACCO, MA, LPC, LCADC
ActiveMARK A BACCO, MA, LPC, LCADC is a Professional Counselor healthcare provider located in ROXBURY TOWNSHIP, New Jersey. NPI 1396229639 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROXBURY TOWNSHIP, NJ
Registration Details
- NPI Number
- 1396229639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2018 (7.7169463086743 yrs)
- Last Updated
- Sep 22, 2018
- Licenses
-
37LC00204100 (NJ)37PC00564400 (NJ)
Practice Information
- Address
-
4 GOLD MINE RDROXBURY TOWNSHIP, NJ, 078369122Browse NJ providers · Browse ZIP 07836
- Phone
- 9735277072
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
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.