Individual
LESA J BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS HS
Contact information
Practice address
PO BOX 330, SHADY SPRING, WV 25918-0330
(304) 222-2263
Mailing address
PO BOX 330, SHADY SPRING, WV 25918-0330
(304) 222-2263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E503327
WV
Other
Enumeration date
11/01/2022
Last updated
08/26/2024
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