Individual
JAMES J BUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
297 FORESTBROOK COVE CIR, MYRTLE BEACH, SC 29588-8069
(770) 709-2065
Mailing address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(864) 565-9821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01782
GA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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