Individual
JOHN BACKFISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
19806 STATE HIGHWAY C, ADVANCE, MO 63730-8352
(573) 321-8924
Mailing address
19806 STATE HIGHWAY C, ADVANCE, MO 63730-8352
(573) 321-8924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2022034386
MO
101YP2500X
Professional Counselor
Primary
2022034386
MO
Other
Enumeration date
08/10/2023
Last updated
05/06/2026
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