Individual provider · Type 1 NPI

Jon Backstrom, M.S. ED., LMHC

Mental Health Counselor · Davenport, IA

NPI number 1588040190 Active

Practice location

1202 W 3rd St
Davenport, IA 52802-1344

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X077996 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1588040190

Jon Backstrom, M.S. ED., LMHC's National Provider Identifier is 1588040190, issued on Aug 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, IA. The record was last updated on Aug 5, 2015.