Individual
ASHLEY ANN BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Mailing address
1233 REANEY AVE, SAINT PAUL, MN 55106-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
09/06/2023
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