Individual
MR. PAUL ALLEN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAUL BUCKLEY, LMFT
Contact information
Practice address
7515 WAYZATA BLVD STE 209, ST LOUIS PARK, MN 55426-1635
(612) 867-2565
(952) 928-2325
Mailing address
7515 WAYZATA BLVD STE 209, ST LOUIS PARK, MN 55426-1635
(612) 867-2565
(952) 928-2325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1001
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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