Individual provider · Type 1 NPI

Anita Bacon, CADC

Addiction (Substance Use Disorder) Counselor · Greensboro, NC

NPI number 1639819022 Active

Practice location

1101 Carolina St
Greensboro, NC 27401-1318

Fax (336) 275-1187

Mailing address

6882 Derby Run Dr
Whitsett, NC 27377-9825

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639819022

Anita Bacon, CADC's National Provider Identifier is 1639819022, issued on Apr 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greensboro, NC. The record was last updated on Feb 25, 2026.