Individual
JEANETTE L BUCKLAND-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,PLPC
Contact information
Practice address
1721 S. INGRAM, SEDALIA, MO 65301
(660) 827-9875
Mailing address
1721 S. INGRAM, SEDALIA, MO 65301
(660) 827-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
2009035677
MO
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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