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Individual

CHARLOTTE BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
1501 W 11TH PL STE 104, BIG SPRING, TX 79720-4122
(432) 263-0027
Mailing address
409 RUNNELS ST, BIG SPRING, TX 79720-2529
(423) 264-4228
(432) 264-4210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1687
TX

Other

Enumeration date
12/06/2018
Last updated
12/11/2019
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