Individual provider · Type 1 NPI

Roy Ronald Bacon

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1801669650 Active

Practice location

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965

Call (559) 276-7558 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC16662 (CA)

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

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About NPI 1801669650

Roy Ronald Bacon's National Provider Identifier is 1801669650, issued on Nov 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Nov 2, 2023.