Individual
MS. MARY LEE BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
75 E 1100 N, CHESTERTON, IN 46304-9349
(219) 928-3695
(219) 926-7318
Mailing address
75 E 1100 N, CHESTERTON, IN 46304-9349
(219) 928-3695
(219) 926-7318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000790A
IN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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