Individual
AJ BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LMHCA
Contact information
Practice address
652 OFFICERS ROW, VANCOUVER, WA 98661-3836
(360) 949-9140
Mailing address
7403 SE HAROLD ST, PORTLAND, OR 97206-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61588285
WA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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