Individual
KIMBERLY BACKFISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT
Contact information
Practice address
19806 STATE HIGHWAY C, ADVANCE, MO 63730-8352
(573) 321-8924
Mailing address
3403 BCR 725, ZALMA, MO 63787-8769
(573) 275-0269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019009248
MO
Other
Enumeration date
07/09/2020
Last updated
12/17/2024
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