Individual
ALICIA BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2250 PLEASANT AVE, HAMILTON, OH 45015-1135
(513) 868-4872
(513) 868-1415
Mailing address
2250 PLEASANT AVE, HAMILTON, OH 45015-1135
(513) 868-4872
(513) 868-1415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1200715-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207830
—
OH
Enumeration date
02/27/2017
Last updated
05/31/2024
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