Individual
WILLIAM DAVID BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, TACDC
Contact information
Practice address
101 SAINT CLAIR ST # A, FRANKFORT, KY 40601-2640
(859) 489-6557
(859) 756-6078
Mailing address
225 S MAIN ST STE B, VERSAILLES, KY 40383-1582
(859) 489-6557
(859) 756-6078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168467
KY
101YM0800X
Mental Health Counselor
Primary
162868
KY
Other
Enumeration date
07/05/2017
Last updated
08/26/2025
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