Individual
D'JUAN BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 MAIN ST STE 113, PINEVILLE, LA 71360-6936
(318) 792-2436
Mailing address
201 CENTURY VILLAGE BLVD STE 256, MONROE, LA 71203-2008
(318) 415-6888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ACEP7392
LA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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