WILLIAM DAVID BACK LPCC, TACDC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1083135636- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPCC, TACDC
- Status
- Active
Contact & Location
- Address
- 649 CHAMBERLIN AVE STE 2500, FRANKFORT, KY, 406014288
- Phone
- (216) 468-5000
- Fax
- (216) 456-8128
Specialties & Taxonomies
Counselor, Professional
Primary License: KY #162868
Counselor, Addiction (Substance Use Disorder)
License: KY #168467