Individual
MS. COLETTE A BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
34900 CHARDON RD, SUITE 102, WILLOUGHBY, OH 44094-9161
(216) 548-1439
Mailing address
1760 SUNVIEW RD, LYNDHURST, OH 44124-2843
(440) 473-0230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E4173
OH
Other
Enumeration date
01/18/2007
Last updated
07/26/2007
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