Kathleen Backus, MA, LCPC
NPI #1871782805 in Bloomington, Illinois
Provider Information
- NPI Number
- 1871782805
- Entity Type
- Individual
- Name
- Kathleen Backus, MA, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, LCPC
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Jan 23, 2025
Practice Location
- Address
- 808 S ELDORADO RD STE 102
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6075
- Phone
- (309) 212-6007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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