Individual
KELLIE NAKATSU BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ED.S.
Contact information
Practice address
28 PARKWAY COMMONS WAY, GREER, SC 29650-5213
(864) 434-0750
(877) 991-7982
Mailing address
300 NEWFORT PL, GREENVILLE, SC 29607-5985
(864) 434-0750
(877) 991-7982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
4510
SC
Other
Enumeration date
12/06/2006
Last updated
02/04/2015
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