Organization
KAILEY BUCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEY BUCK LPC (MENTAL HEALTH PROFESSIONAL/OWNER)
(501) 765-0352
Entity
Organization
Contact information
Practice address
1680 E JOYCE BLVD, FAYETTEVILLE, AR 72703-6214
(479) 309-0811
Mailing address
4349 W BELL FLOWER DR, FAYETTEVILLE, AR 72704-5112
(501) 765-0352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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