Individual
ANDREW MICHAEL BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC-MHSP
Contact information
Practice address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-9163
(865) 525-2958
Mailing address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-9163
(865) 525-2958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016810
—
TN
Enumeration date
01/27/2011
Last updated
09/19/2023
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