Individual
MEREDITH BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
325 SENTINEL DR, WAUKESHA, WI 53189-7551
(262) 549-9449
(262) 549-6771
Mailing address
325 SENTINEL DR, WAUKESHA, WI 53189-7551
(262) 549-9449
(262) 549-6771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16435-131
WI
171M00000X
Case Manager/Care Coordinator
16435-131
WI
Other
Enumeration date
02/01/2021
Last updated
02/04/2021
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