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Individual
DR. TIA D. BUCHANAN
Active
Individual
DR. TIA D. BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN., LCCC, NCC, LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6810
SC
101YP1600X
Pastoral Counselor
13741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13741
LICENSED CLINICAL CHRISTIAN COUNSELOR NCCA
FL
05
—
PC1931
—
SC
Enumeration date
02/03/2011
Last updated
06/11/2019
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