Individual
JENNIFER BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
2522 WEBSTER ST, FORT WAYNE, IN 46807-1348
(260) 445-7434
Mailing address
2522 WEBSTER ST, FORT WAYNE, IN 46807-1348
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35002440A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
03/30/2015
Last updated
09/26/2024
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