Individual
MRS. ADRIANE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CADC
Contact information
Practice address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(708) 771-7000
Mailing address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(708) 771-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28911
IL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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