Individual
SHAWN PAUL BACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2749 W COUNTY 14TH ST, YUMA, AZ 85365-9757
(928) 985-1186
Mailing address
791 S 4TH AVE STE A, YUMA, AZ 85364-3067
(928) 783-3986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 16512
AZ
Other
Enumeration date
02/06/2017
Last updated
07/15/2021
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