Individual
MS. ANGELA BUCKHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBD,CBE,SFN
Contact information
Practice address
308 KNAEBEL LN, JEFFERSON CITY, MO 65101-4344
(225) 921-2730
(573) 634-2188
Mailing address
308 KNAEBEL LN, JEFFERSON CITY, MO 65101-4344
(225) 921-2730
(573) 634-2188
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175M00000X
Lay Midwife
—
—
374J00000X
Doula
Primary
—
MO
Other
Enumeration date
03/06/2017
Last updated
03/17/2024
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