ROY RONALD BACON
NPI 1801669650
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since November 02, 2023

4705 N SONORA AVE STE 113, FRESNO, CA 93722(559) 276-7558 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Roy Ronald Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROY RONALD BACON (NPI 1801669650) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (SUDRC16662) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1801669650

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameROY RONALD BACON

Location Address4705 N SONORA AVE STE 113Fresno, CA 93722-3965

Mailing Address4705 N Sonora Ave Ste 113Fresno, CA 93722-3965 · (559) 276-7558

Phone(559) 276-7558

Sole ProprietorNo

Enumeration DateNovember 2, 2023

NPPES CertifiedNovember 2, 2023

✔ NPI 1801669650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · SUDRC16662

4705 N SONORA AVE STE 113, Fresno, CA 93722

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASCUAL JOSE ORTIZ B.S.

Counselor (Addiction (Substance Use Disorder))