Individual provider · Type 1 NPI

Tori Lynn Back, CADC CCS

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MI

NPI number 1467923763 Active

Practice location

3300 36th St SE
Grand Rapids, MI 49512-2810

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1467923763

Tori Lynn Back, CADC CCS's National Provider Identifier is 1467923763, issued on Dec 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 12, 2018.