Organization · Type 2 NPI
Jonathan Backstrom, LLC
Mental Health Counselor · Davenport, IA
NPI number
1356932073
Active
Practice location
2625 W 36th St
Davenport, IA 52806-5224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1356932073
Jonathan Backstrom, LLC's National Provider Identifier is 1356932073, issued on Jan 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, IA. The record was last updated on Jan 27, 2021.