Individual
REBECCA BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 E SOUTH TEMPLE STE 550, SALT LAKE CITY, UT 84111-1237
(385) 313-0547
Mailing address
S1222 MATHISON LN, WESTBY, WI 54667-7266
(385) 313-0547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10846080-6009
UT
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/03/2014
Last updated
01/08/2024
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