Individual
HEATHER R BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCAC
Contact information
Practice address
16 SW 5TH ST, RICHMOND, IN 47374-4101
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000564A
IN
106H00000X
Marriage & Family Therapist
Primary
35001632A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35001632A
LMFT LICENSE
IN
Enumeration date
01/08/2008
Last updated
11/05/2018
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