Individual
ANGELA BUCKHOLTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 VASSAS CT, WARNER ROBINS, GA 31088
47809220018
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 922-1002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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