Individual
ALLISON BUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 876-8290
Mailing address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 876-8290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164995
OH
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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