Individual
MR. RANDY LEE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHT
Contact information
Practice address
3087 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-4410
Mailing address
3087 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-4410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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