Individual
MRS. KATHRYN L. BUCKWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., CADC II, CGACI
Contact information
Practice address
400 VIRGINIA AVE, #201, NORTH BEND, OR 97459-2709
(541) 751-0357
(541) 751-9985
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95-10-68
OR
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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