NPI 1093524738

Linda C Bacon

Practitioner Mental Health Counselor Elizabeth, NJ

Practice location

Address: 570 N Broad St, Elizabeth, NJ 07208-3314
Phone: (973) 355-0050
Mailing address: 606 Highland Ave, Neptune, NJ 07753-3508

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 37AC00769900 (NJ)

Other Counselor providers in New Jersey →

Registry record

NPI: 1093524738
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2025
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.