Individual
RACHEL BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1512 S TIMBER RDG, FRIDLEY, MN 55432-4742
(612) 478-8040
Mailing address
1512 S TIMBER RDG, FRIDLEY, MN 55432-4742
(612) 478-8040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303860
MN
101YM0800X
Mental Health Counselor
Primary
3099
MN
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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