Individual
CHRISTOPHER JORDAN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 MAIN ST, MORRO BAY, CA 93442-1552
(805) 772-2122
Mailing address
2460 MAIN ST, MORRO BAY, CA 93442-1552
(805) 772-2122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1537101123
CA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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