Individual
DARRION BUCKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9428 BROOKLINE AVE, BATON ROUGE, LA 70809-1428
(225) 372-2693
Mailing address
9428 BROOKLINE AVE, BATON ROUGE, LA 70809-1428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743219772
—
LA
Enumeration date
08/08/2017
Last updated
06/16/2018
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