Individual provider · Type 1 NPI

Kenneth Backen, LICENSED ADDICTION C

Addiction (Substance Use Disorder) Counselor · Minot, ND

NPI number 1003659962 Active

Practice location

900 N Broadway Ste 300
Minot, ND 58703-2378

Call (701) 537-4191 Map

Fax (701) 786-7174

Mailing address

900 N Broadway Ste 111
Minot, ND 58703-2378

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1973 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003659962

Kenneth Backen, LICENSED ADDICTION C's National Provider Identifier is 1003659962, issued on Jun 17, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minot, ND. The record was last updated on Jun 17, 2024.