Individual
ANNA MICHELLE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1635 LELIA DR STE 100, JACKSON, MS 39216-4876
(601) 362-7020
Mailing address
PO BOX 711, BOLTON, MS 39041-0711
(662) 418-7785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2279
MS
Other
Enumeration date
05/30/2018
Last updated
08/03/2022
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