Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEX BACA, LPC
Active Sole ProprietorALEX BACA, LPC is a Professional Counselor healthcare provider located in BLOOMINGTON, Illinois. NPI 1427785567 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1427785567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2022 (3.9889890678938 yrs)
- Last Updated
- Aug 8, 2022
- License
-
178018156 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 S ELDORADO RD STE 102BLOOMINGTON, IL, 617046075Browse IL providers · Browse ZIP 61704
- Phone
- 8884287890
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTINE L. LANE | LCPC | 1194770354 |
| MS. ALLISON DAWN DENEHY | LCPC | 1568491199 |
| SHARON J. KLINGMAN | MS, CADC, LCPC | 1760405401 |
| THOMAS P. NIEBUR | LCPC, LMFT, CSAT | 1437172103 |
| CYNTHIA J WALTER | LCPC | 1891702197 |
| MR. SHAWN SOULE | LCPC | 1881602571 |
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.