Individual
ASHLEY HEATHER BUCKHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS
Contact information
Practice address
116 HEALTH DR, GREENVILLE, NC 27834-7704
(252) 413-1965
(252) 413-0500
Mailing address
116 HEALTH DR, GREENVILLE, NC 27834-7704
(252) 413-1965
(252) 413-0500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112268
—
NC
Enumeration date
08/11/2011
Last updated
07/30/2012
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