Individual
KRISTINA A. BUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRINCIPAL COUNSELOR
Contact information
Practice address
2 REGENCY PLAZA, SUITE 20, PROVIDENCE, RI 02903
(401) 218-8966
Mailing address
2 REGENCY PLAZA, SUITE 20, PROVIDENCE, RI 02903
(401) 218-8966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KB82305
—
RI
Enumeration date
09/02/2010
Last updated
09/28/2016
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