Individual
BARBARA GAY BACKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC, P.A.
Contact information
Practice address
2700 1ST ST N, #209, SAINT CLOUD, MN 56303-4256
(320) 202-9107
Mailing address
2700 1ST ST N, #209, SAINT CLOUD, MN 56303-4256
(320) 202-9107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00366
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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