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William David Back, LPCC, TACDC

Counselor, Professional in Frankfort, KY. Individual provider (NPI-1).

NPI number1083135636
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1083135636
Entity type
Individual (NPI-1)
Name
William David Back
Credential
LPCC, TACDC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2017
Certification date
Jun 29, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional162868KYYes
101YA0400X Counselor, Addiction (Substance Use Disorder)168467KY

Practice location

649 Chamberlin Ave Ste 2500
Frankfort, KY 40601-4288

Phone 216-468-5000 · Fax 216-456-8128

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Phone 216-468-5000 · Fax 216-456-8128

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