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Contact Information

DANA BACKSTROM, MFT
5670 CAMDEN AVE
SAN JOSE, CA95124-6428
 Phone: 408-687-6538
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DANA BACKSTROM · (Female)

NPI # 1013085125
Status Active
Credentials MFT (Marriage and Family Therapist)
Entity Individual
Enumeration date 11/30/2006
Last updated 11/18/2009 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # MFC47524
  • CA Other 41721 UNICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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