person
Kathleen Backus, MA,LCPC
Professional Counselor in Bloomington, Illinois
NPI 1871782805

Kathleen Backus is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Kathleen Backus practices in Bloomington, IL and has the professional credentials of MA,LCPC. The NPI Number for Kathleen Backus is 1871782805 and holds a License No. 180004305 (Illinois).

The current practice location address for Kathleen Backus is 808 S Eldorado Rd Ste 102, Bloomington, IL and can be reached out via phone at 309-212-6007. You can also correspond with Kathleen Backus through the mailing address at 2203 E WASHINGTON ST, BLOOMINGTON, IL - 61701-4322 (mailing address contact number: 309-663-0781).

Location: 808 S Eldorado Rd Ste 102, Bloomington, IL, 61701-4322
person
Provider Profile Details
NPI Number
1871782805
Provider Name
Kathleen Backus
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
808 S Eldorado Rd Ste 102, Bloomington, IL, 61701-4322
Phone Number
309-212-6007
Fax Number
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
808 S Eldorado Rd Ste 102
City
State
Zip
61704-6075
Phone Number
309-212-6007
Fax Number
person
Provider Business Mailing Address Details
Address
808 S Eldorado Rd Ste 102
City
State
Zip
61704-6075
Phone Number
309-212-6007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180004305 (Illinois)
Definition
Definition to come...
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