Individual provider · Type 1 NPI
Mary Joyce Bacon
Mental Health Counselor · Decatur, GA
NPI number
1659146140
Active
Practice location
215 Church St Ste 107
Decatur, GA 30030-3330
Fax (855) 952-5859
Mailing address
87 Rogers St SE
Atlanta, GA 30317-2237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1659146140
Mary Joyce Bacon's National Provider Identifier is 1659146140, issued on Nov 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Nov 15, 2023.