Individual
MS. MARTI MARIA BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
619 GOVERNORS RD, MILTON, NH 03851-4757
(802) 825-6187
Mailing address
619 GOVERNORS RD, MILTON, NH 03851-4757
(802) 825-6187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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