Individual
JADA DEANISE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 S WESTERN AVE STE 405, OKLAHOMA CITY, OK 73139-1814
(405) 625-4742
Mailing address
6803 S WESTERN AVE STE 405, OKLAHOMA CITY, OK 73139-1814
(405) 625-4742
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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