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Individual

JOHN BACKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
9201 PHILADELPHIA RD, BALTIMORE, MD 21237
(410) 574-7700
(410) 574-1522
Mailing address
9201 PHILADELPHIA RD, ROSEDALE, MD 21237-4318
(410) 574-7700

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8756
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC8756
LCPC
MD
Enumeration date
09/27/2016
Last updated
09/12/2018
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