Individual
MR. ANDREW WILLIAM BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., QMHP
Contact information
Practice address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(541) 485-2711
(888) 975-0250
Mailing address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(541) 485-2711
(888) 975-0250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-17-219
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663308
—
OR
Enumeration date
07/10/2007
Last updated
07/21/2022
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