Individual provider · Type 1 NPI
Mark A. Bacco, MA, LPC, LCADC
Professional Counselor · Roxbury Township, NJ
NPI number
1396229639
Active
Practice location
4 Gold Mine Rd
Roxbury Township, NJ 07836-9122
Mailing address
34 Lewisburg Rd
Lafayette, NJ 07848-3145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00204100 (NJ) |
| Professional Counselor Primary | 101YP2500X | 37PC00564400 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1396229639
Mark A. Bacco, MA, LPC, LCADC's National Provider Identifier is 1396229639, issued on Sep 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roxbury Township, NJ. The record was last updated on Sep 22, 2018.