Individual
COURTNEY BUCKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
246 5TH AVE FL 3, NEW YORK, NY 10001-7608
(315) 284-0270
Mailing address
246 5TH AVE FL 3, NEW YORK, NY 10001-7608
(315) 284-0270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P108500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P108500
NEW YORK STATE LICENSURE BOARD
NY
Enumeration date
03/02/2021
Last updated
03/02/2021
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