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Individual

ALBERT LEE. BUCKNER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A, M. ED

Contact information

Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797
Mailing address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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