Bacco, Mark A

Bacco, Mark A is an individual health care provider with primary practice located at 4 Gold Mine Rd , Roxbury Township NJ 07836-9122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bacco, Mark A can be contacted via phone (973) 527-7072.

Contact Information

Primary practice address
4 Gold Mine Rd Roxbury Township NJ 07836-9122
Phone: (973) 527-7072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00204100 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00564400 New Jersey

Profile Details

NPI number 1396229639
LBN Legal business name Bacco, Mark A
Credentials MA, LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2018
Last updated Sep 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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