Individual
DANIEL MACHITO BUCKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 DILLON DRIVE, SPARTANBURG, SC 29307
(864) 502-7588
Mailing address
129 DILLON DRIVE, SPARTANBURG, SC 29307
(864) 502-7588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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