James Lloyd Back SR., CDCA

NPI #1144726472 in Shelby, Ohio

Provider Information

NPI Number
1144726472
Entity Type
Individual
Name
James Lloyd Back SR., CDCA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDCA
Enumeration Date
Apr 4, 2018
Last Updated
Apr 11, 2018

Practice Location

Address
2775 STATE ROUTE 39
City
Shelby
State
Ohio
ZIP Code
44875-9466
Phone
(419) 565-5955

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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