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Individual

MRS. JOY ANN BUCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC LAC

Contact information

Practice address
1761 COUNTY ROAD 5, DIVIDE, CO 80814-9101
(719) 200-7209
(719) 687-9668
Mailing address
1761 COUNTY ROAD 5, DIVIDE, CO 80814-9101
(719) 200-7209
(719) 687-9668

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD 259
CO
101YM0800X
Mental Health Counselor
LPC 5789
CO

Other

Enumeration date
04/16/2008
Last updated
10/21/2013
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