Individual
MRS. STACIA B BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, NCC
Contact information
Practice address
1205 4TH ST, KEY WEST, FL 33040-3707
(305) 834-0867
(305) 292-6723
Mailing address
1210B GILMORE DR, KEY WEST, FL 33040-6710
(615) 934-1092
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3382
NY
Other
Enumeration date
07/10/2017
Last updated
08/15/2017
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