Individual
ERIN MICHELLE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
8127 113TH STREET CT S, COTTAGE GROVE, MN 55016-4511
(612) 275-2817
Mailing address
8127 113TH STREET CT S, COTTAGE GROVE, MN 55016-4511
(612) 275-2817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305741
MN
101YM0800X
Mental Health Counselor
Primary
3829
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L352176881710
DRIVERS LICENSE
MN
Enumeration date
08/18/2020
Last updated
07/15/2025
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