Individual provider · Type 1 NPI

William Carl Bacon, D.MIN.

Marriage & Family Therapist · Atlanta, GA

NPI number 1932258084 Active

Practice location

50 Hurt Plz SE, Suite 800
Atlanta, GA 30303-2946

Call (404) 507-1063 Map

Mailing address

189 Castlewood Rd
Tyrone, GA 30290-2224

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT000771 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1932258084

William Carl Bacon, D.MIN.'s National Provider Identifier is 1932258084, issued on Jan 9, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.