Individual
BROOKE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8607 WURZBACH RD, SUITE V-104, SAN ANTONIO, TX 78240-1303
(210) 697-3300
(210) 424-0106
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 391-0030
(210) 497-2104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66220
TX
390200000X
Student in an Organized Health Care Education/Training Program
66220
TX
Other
Enumeration date
12/23/2011
Last updated
01/12/2024
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