Derrick Bacon is a mental health counselor in Philadelphia, PA. Derrick Bacon NPI is 1083102180. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
906 69TH AVE
PHILADELPHIA, PA
ZIP 19126-909
Phone: (215) 300-8111
The enumeration date for this NPI number is 4/25/2018 and was last updated on 4/25/2018.