Individual
DEBI C BUCKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, LPC
Contact information
Practice address
5881 GLENRIDGE DR NE, SUITE 240, ATLANTA, GA 30328-5301
(404) 842-0696
Mailing address
3334 PEACHTREE RD NE, #1606, ATLANTA, GA 30326-6801
(404) 842-0696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC006270
GA
106H00000X
Marriage & Family Therapist
Primary
MFT00196
GA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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