Individual
DAVID BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-ASSOCIATE
Contact information
Practice address
4420 DIXIE HWY STE 230, LOUISVILLE, KY 40216-2986
(502) 709-8862
Mailing address
4420 DIXIE HWY STE 230, LOUISVILLE, KY 40216-2986
(502) 709-8862
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
277990
KY
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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