NPI 1003659962

Kenneth Backen, LICENSEDADDICTIONC

Practitioner Addiction (Substance Use Disorder) Counselor Minot, ND

Practice location

Address: 900 N Broadway STE 300, Minot, ND 58703-2378
Phone: (701) 537-4191
Fax: (701) 786-7174
Mailing address: 900 N Broadway STE 111, Minot, ND 58703-2378

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1973 (ND)

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Registry record

NPI: 1003659962
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2024
Record last updated: 17 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.