Individual
DARYL WAYNE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CAADC
Contact information
Practice address
RR 1, BOX 35D, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Mailing address
12361 NS 3650, WEWOKA, OK 74884
(405) 257-1270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC #3441
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC #344
OK
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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