Individual
MR. MAURICE PATRICK BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
201 NW 4TH ST, SUITE 107, EVANSVILLE, IN 47708-1350
(812) 422-6812
(812) 228-1113
Mailing address
201 NW 4TH ST, SUITE 107, EVANSVILLE, IN 47708-1350
(812) 422-6812
(812) 228-1113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000738A
IN
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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