Individual
BENJAMIN LEE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
11175 SAN PABLO AVE, EL CERRITO, CA 94530-2157
(510) 559-5550
Mailing address
11175 SAN PABLO AVE, EL CERRITO, CA 94530-2157
(510) 559-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104356
CA
1041C0700X
Clinical Social Worker
104356
CA
Other
Enumeration date
04/01/2019
Last updated
05/09/2023
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