Organization
ANN BUCK, LPCC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANN BUCK LPCC (SOLE PROPRIETOR)
(505) 506-5831
Entity
Organization
Contact information
Practice address
2403 SAN MATEO BLVD NE, SUITE W-10, ALBUQUERQUE, NM 87110-4058
(505) 506-5831
(505) 883-3076
Mailing address
2403 SAN MATEO BLVD NE, SUITE W-10, ALBUQUERQUE, NM 87110-4058
(505) 506-5831
(505) 883-3076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0075491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676080
—
NM
Enumeration date
03/03/2008
Last updated
03/03/2008
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