| Doctor Name: | MEGAN K BUCKLIN |
| NPI Number: | 1033112826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 178-002729 |
| Business Practice Address: | 197 W. Harrison Street Suite 2 Bourbonnais, IL - 60914 |
| Business Phone Number: | 8159355540 |
| Business Fax Number: | 8159355459 |
| Mailing Address: | 197 W. Harrison Street, Suite 2 BOURBONNAIS |
| State: | IL |
| Postal Code: | 60914 |
| Phone Number: | 8159355540 |
| Fax Number: | 8159355459 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178-002729 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |