Individual
RYAN JOSEPH BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
Mailing address
2560 TREEHOUSE LN, LAWRENCEVILLE, GA 30044-2562
(770) 815-4794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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