Individual
PATRICIA ELAINE BUCKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HERLONG AVE S, ROCK HILL, SC 29732-1186
(803) 324-1800
Mailing address
199 HERLONG AVE S, ROCK HILL, SC 29732-1186
(803) 324-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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