Individual
ERNESTINA S BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
33 SUBWAY ST, BISBEE, AZ 85603
(520) 227-3695
(855) 568-6439
Mailing address
PO BOX 4171, BISBEE, AZ 85603-4171
(520) 227-3695
(855) 568-6439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1608
AZ
Other
Enumeration date
08/03/2010
Last updated
01/16/2020
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