Individual provider · Type 1 NPI
Benjamin Backes, LADC
Addiction (Substance Use Disorder) Counselor · Old Saybrook, CT
NPI number
1225503279
Active
Practice location
251 Main St Ste 101
Old Saybrook, CT 06475-2357
Mailing address
140 Mill St Apt 533
East Haven, CT 06512-1071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 44.001308 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225503279
Benjamin Backes, LADC's National Provider Identifier is 1225503279, issued on Oct 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Old Saybrook, CT. The record was last updated on Oct 5, 2018.