Individual
MR. JASON BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2403 SAN MATEO BLVD NE, SUITE W4, ALBUQUERQUE, NM 87110-4058
(505) 615-2223
(505) 242-2775
Mailing address
PO BOX 6493, ALBUQUERQUE, NM 87197-6493
(505) 615-2223
(505) 242-2775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78481
NM
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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