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Organization

FAMILY PRESERVATION COUNSELING & CONSULTING

Active
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Organization

FAMILY PRESERVATION COUNSELING & CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA DENIESE BUCKNER LCSW (OWNER, DIRECTOR)
(317) 259-7122
Entity
Organization

Contact information

Practice address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167
Mailing address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
34002010A
IN

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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