Individual
MELANIE A BUCHAKLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2222
(262) 687-2495
Mailing address
400 W RIVER WOODS PKWY, 3RD FL, GLENDALE, WI 53212-1060
(414) 465-3091
(414) 465-4842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43706800
—
WI
Enumeration date
02/29/2008
Last updated
02/03/2016
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