Individual
MOLLEY BACKSCHEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 CUSTER LN, FT WRIGHT, KY 41017-9244
(859) 757-3912
Mailing address
2206 CUSTER LN, FT WRIGHT, KY 41017-9244
(859) 757-3912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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