Kenneth Backen, LICENSED ADDICTION C
NPI #1003659962 in Minot, North Dakota
Provider Information
- NPI Number
- 1003659962
- Entity Type
- Individual
- Name
- Kenneth Backen, LICENSED ADDICTION C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LICENSED ADDICTION C
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 900 N BROADWAY STE 300
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58703-2378
- Phone
- (701) 537-4191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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