Individual
WILLIAM DAVID BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, TACDC
Contact information
Practice address
649 CHAMBERLIN AVE STE 2500, FRANKFORT, KY 40601-4288
(216) 468-5000
(216) 456-8128
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168467
KY
101YM0800X
Mental Health Counselor
Primary
162868
KY
101YP2500X
Professional Counselor
Primary
162868
KY
Other
Enumeration date
07/05/2017
Last updated
06/29/2026
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