Regina Back Valid NPI
Individual provider · Professional Counselor · Louisa, KY
- NPI
- 1376299479
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 267880 (KY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-02-28
- Last updated
- 2022-02-28
Practice location
125 S Main Cross St Ste 202
Louisa, KY 41230-1065
(606) 638-0938