Doctor Name: | HEATHER R BUCKLAND |
NPI Number: | 1003091133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LCAC |
License Number: | 87000564A |
Business Practice Address: | 16 Sw 5th St Richmond, IN - 473744101 |
Business Phone Number: | 7652881928 |
Business Fax Number: | 7657410335 |
Mailing Address: | 240 N Tillotson Ave, MUNCIE |
State: | IN |
Postal Code: | 473043988 |
Phone Number: | 7652881928 |
Fax Number: | 7657410335 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 87000564A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |