Edward Bacon, LCPC is a professional counselor in Decatur, IL. Edward Bacon, LCPC NPI is 1396252649. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
790 E MOUND RD
DECATUR, IL
ZIP 62526-951
Phone: (309) 323-8988
The NPI 1396252649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 1/9/2018 and was last updated on 1/9/2018.