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Individual
MR. JEFFREY K BUCHANAN
Active
Individual
MR. JEFFREY K BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II/QMHA-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-03-20553
OR
101YM0800X
Mental Health Counselor
22-QMHA-I-003506
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500799394
—
OR
05
—
500831450
—
OR
Enumeration date
06/15/2021
Last updated
04/11/2025
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