-- JON BACKSTROM -- M.S. ED., LMHC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1588040190- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.S. ED., LMHC
- Status
- Active
Contact & Location
- Address
- 1202 W 3RD ST, DAVENPORT, IA, 528021344
- Phone
- (563) 327-0174
Specialties & Taxonomies
Counselor, Mental Health
Primary License: IA #077996
All Addresses
MAILING
1202 W 3RD ST
DAVENPORT, IA, 528021344