person
Mrs. Kathy L. Back, MA,LPC
Mental Health Counselor in Salem, Oregon
NPI 1427351287

Kathy L. Back is a Mental Health Counselor based in Turner, OR and is specialized in Mental Health. Kathy L. Back practices in Salem, OR and has the professional credentials of MA,LPC. The NPI Number for Kathy L. Back is 1427351287 and holds a License No. C2766 (Oregon).

The current practice location address for Kathy L. Back is 2645 Portland Rd Ne, Salem, OR and can be reached out via phone at 503-798-3180.

Location: 2645 Portland Rd Ne, Salem, OR, 97392-9586
person
Provider Profile Details
NPI Number
1427351287
Provider Name
Kathy L. Back
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
2645 Portland Rd Ne, Salem, OR, 97392-9586
Phone Number
503-798-3180
Fax Number
Provider Enumeration Date
12/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2645 Portland Rd Ne
City
State
Zip
97301-0198
Phone Number
503-798-3180
Fax Number
person
Provider Business Mailing Address Details
Address
2645 Portland Rd Ne
City
State
Zip
97301-0198
Phone Number
503-798-3180
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C2766 (Oregon)
Definition
Definition to come...
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