Doctor Name: | DARYL WAYNE BUCHANAN |
NPI Number: | 1699845545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPC, CAADC |
License Number: | LPC #3441 |
Business Practice Address: | Rr 1, Box 35d Boley, OK - 74829 |
Business Phone Number: | 9186673367 |
Business Fax Number: | 9186673387 |
Mailing Address: | 12361 Ns 3650, WEWOKA |
State: | OK |
Postal Code: | 74884 |
Phone Number: | 4052571270 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC #3441 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OK |
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 |