person
Regina Back
Professional Counselor in Louisa, Kentucky
NPI 1376299479

Regina Back is a Professional Counselor based in Louisa, KY and is specialized in Professional. Regina Back practices in Louisa, KY. The NPI Number for Regina Back is 1376299479 and holds a License No. 267880 (Kentucky).

The current practice location address for Regina Back is 125 S Main Cross St Ste 202, Louisa, KY and can be reached out via phone at 606-638-0938.

Location: 125 S Main Cross St Ste 202, Louisa, KY, 41230-1065
person
Provider Profile Details
NPI Number
1376299479
Provider Name
Regina Back
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St Ste 202, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St Ste 202
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St Ste 202
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
267880 (Kentucky)
Definition
Definition to come...
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