# FAMILY PRESERVATION COUNSELING & CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083906531
- **Authorized official:** MRS. DEBRA DENIESE BUCKNER LCSW (OWNER, DIRECTOR)
- **Authorized official phone:** (317) 259-7122

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 05/03/2011