Individual
JESSICA LOREN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 878-1135
(405) 878-1138
Mailing address
RR 1 BOX 383, STROUD, OK 74079-9712
(580) 310-4670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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