Individual provider · Type 1 NPI

Kimberly Backfisch, LPC, RPT

Professional Counselor · Advance, MO

NPI number 1689292302 Active

Practice location

19806 State Highway C
Advance, MO 63730-8352

Mailing address

3403 Bcr 725
Zalma, MO 63787-8769

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2019009248 (MO)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1689292302

Kimberly Backfisch, LPC, RPT's National Provider Identifier is 1689292302, issued on Jul 9, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Advance, MO. The record was last updated on Dec 17, 2024.