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Individual

KRISTEN MARIE BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007014568
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494079106
MO
Enumeration date
02/09/2009
Last updated
08/13/2025
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