Organization
BACKER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BACKER LMHC (OWNER)
(786) 385-7839
Entity
Organization
Contact information
Practice address
1138 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5369
(904) 385-0133
Mailing address
4712 CRESCENT ST, JACKSONVILLE, FL 32205-4922
(786) 385-7839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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