| Backer Counseling Llc | |
|
1138 Edgewood Ave S Jacksonville FL 32205-5369 | |
| (904) 385-0133 | |
| Not Available |
| Full Name | Backer Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1138 Edgewood Ave S, Jacksonville, Florida |
| Authorized Official Name and Position | Chad Backer (OWNER) |
| Authorized Official Contact | 7863857839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Backer Counseling Llc 4712 Crescent St Jacksonville FL 32205-4922 Ph: (786) 385-7839 | Backer Counseling Llc 1138 Edgewood Ave S Jacksonville FL 32205-5369 Ph: (904) 385-0133 |
| NPI Number | 1104672120 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104672120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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