CONNIE MARIE BACKSTROM LMFT
Individual Provider (NPI-1)
Active
Marriage & Family Therapist
Provider Information
- NPI Number
1548094147- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMFT
- Status
- Active
Contact & Location
- Address
- 7580 160TH ST W, LAKEVILLE, MN, 550448348
- Phone
- (952) 898-1133
- Fax
- (952) 435-6797
Specialties & Taxonomies
Marriage & Family Therapist
Primary License: MN #4383