Individual
AMY BUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 SECOND ST, LIVERMORE, CA 94550-4327
(925) 640-2633
Mailing address
1615 SECOND ST, LIVERMORE, CA 94550-4327
(924) 640-2633
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT113731
CA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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