Organization
FAMILY PRESERVATION COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA DENIESE BUCKNER LCSW (OWNER, DIRECTOR)
(317) 259-7122
Entity
Organization
Contact information
Practice address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167
Mailing address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
34002010A
IN
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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