DERRICK BACON

Mental Health Counselor

NPI: 1083102180Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address: 906 69TH AVE
PHILADELPHIA, PA 19126
Phone: (215) 300-8111

Quick Facts

NPI: 1083102180
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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