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1003659962
KENNETH BACKEN
MINOT, ND
NPI
1003659962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1973)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
KENNETH BACKEN Licensed Addiction C
900 N BROADWAY STE 300
MINOT, ND 58703-2378
Phone number: 701-537-4191
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Mailing Address
KENNETH BACKEN Licensed Addiction C
900 N BROADWAY STE 111
MINOT, ND 58703-2378
Phone number: 701-720-2964
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