Doctor Name: | MR. THOMAS R BUFFKIN |
NPI Number: | 1003972563 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 4311 |
Business Practice Address: | 1013 N Elm St Apt A4 Greensboro, NC - 274011431 |
Business Phone Number: | 3362727765 |
Business Fax Number: | |
Mailing Address: | 1013 N Elm St Apt A4, GREENSBORO |
State: | NC |
Postal Code: | 274011431 |
Phone Number: | 3365801766 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 11/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |