BENJAMIN BACKES

OLD SAYBROOK, CT
NPI1225503279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  44.001308)
Enumeration Date2018-10-05
Last Update Date2018-10-05
Business Address
BENJAMIN BACKES LADC
251 MAIN ST STE 101
OLD SAYBROOK, CT 06475-2357
Phone number: 860-388-9656
Mailing Address
BENJAMIN BACKES LADC
140 MILL ST APT 533
EAST HAVEN, CT 06512-1071
Phone number: 203-671-0917
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