KATHY L. BACK

SALEM, OR
NPI1427351287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C2766)
Enumeration Date2010-12-15
Last Update Date2012-01-24
Business Address
Mrs. KATHY L. BACK M.A., L.P.C.
2645 PORTLAND RD NE SUITE 120
SALEM, OR 97301-0198
Phone number: 503-798-3180
Mailing Address
Mrs. KATHY L. BACK M.A., L.P.C.
2735 ENCHANTED VIEW LN SE
TURNER, OR 97392-9586
Phone number: 503-991-2176
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