Individual
KAILEY BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1680 E JOYCE BLVD, FAYETTEVILLE, AR 72703-6214
(479) 309-0811
Mailing address
4349 W BELL FLOWER DR, FAYETTEVILLE, AR 72704-5112
(501) 765-0352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2308008
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/11/2020
Last updated
11/07/2023
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