Individual
MRS. DEBRA DENISE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167
Mailing address
5555 N TACOMA AVE, SUITE 201, INDIANAPOLIS, IN 46220-3512
(317) 259-7122
(317) 259-7167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000697-A
IN
1041C0700X
Clinical Social Worker
34002010-A
IN
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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