| Jonathan Backstrom, Llc | |
|
2625 W 36th St Davenport IA 52806-5224 | |
| (563) 650-5863 | |
| Not Available |
| Full Name | Jonathan Backstrom, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2625 W 36th St, Davenport, Iowa |
| Authorized Official Name and Position | Jon Backstrom (THERAPIST) |
| Authorized Official Contact | 5636505863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Backstrom, Llc 2625 W 36th St Davenport IA 52806-5224 Ph: (563) 650-5863 | Jonathan Backstrom, Llc 2625 W 36th St Davenport IA 52806-5224 Ph: (563) 650-5863 |
| NPI Number | 1356932073 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356932073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Courageous Aim Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2805 Eastern Ave Ste D, Davenport, IA 52803 Phone: 563-505-0141 | |
Vera French Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 Fax: 563-328-5690 | |
Hope For Tomorrow Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 E Kimberly Rd Ste 110, Davenport, IA 52807 Phone: 563-200-3154 Fax: 833-228-5356 | |
Ciaccio Medical, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 309-236-8075 | |
The Center For Alcohol & Drug Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 S Fairmount St, Davenport, IA 52802 Phone: 563-322-2667 | |
The Robert Young Center For Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12160 S Utah Ave, Davenport, IA 52804 Phone: 563-326-1150 | |
Revolution Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 601 Brady St Ste 204, Davenport, IA 52803 Phone: 309-781-4053 Fax: 309-792-2440 |