Individual
MS. GAIL BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2504
(201) 444-3550
(201) 652-1613
Mailing address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2504
(201) 444-3550
(201) 652-1613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00522200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00168400
NJ
Other
Enumeration date
10/15/2009
Last updated
01/12/2024
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