Doctor Name: | MS. MARIA ELAINE BUCCILLI |
NPI Number: | 1174822548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC, NCC |
License Number: | 6401011200 |
Business Practice Address: | 821 Berkshire Dr Kalamazoo, MI - 490065403 |
Business Phone Number: | 2699297604 |
Business Fax Number: | |
Mailing Address: | 821 Berkshire Dr, KALAMAZOO |
State: | MI |
Postal Code: | 490065403 |
Phone Number: | 2699297604 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2011 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401011200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |