Individual
JONATHAN BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC II
Contact information
Practice address
141 UNIVERSITY AVE, SEWANEE, TN 37375-2205
(931) 588-0481
Mailing address
500 RIVERSIDE DR, MANCHESTER, TN 37355-1616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000001089
TN
1041C0700X
Clinical Social Worker
Primary
7132
TN
Other
Enumeration date
02/12/2013
Last updated
11/07/2022
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