Individual
CHARIS BUCKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3781 RIVER TRACE DR, DIBERVILLE, MS 39540-5505
(228) 257-7819
Mailing address
3781 RIVER TRACE DR, DIBERVILLE, MS 39540-5505
(228) 257-7819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1906
MS
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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