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Individual
EVERETT BUDDENBERG
Active
Individual
EVERETT BUDDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161843
OH
101YP2500X
Professional Counselor
C.2204755
OH
Other
Enumeration date
09/17/2019
Last updated
07/18/2025
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