Individual
SANDRA BUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
124 TYLER RD S, RED WING, MN 55066-1733
(651) 977-5001
Mailing address
124 TYLER RD S, RED WING, MN 55066-1733
(651) 977-5001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N14163369314
DRIVER'S LICENSE
MN
Enumeration date
12/19/2013
Last updated
09/13/2021
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