Individual
PETER JONATHAN BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC, MA, NCC
Contact information
Practice address
3102 FLORAL PARK RD, CLINTON, MD 20735-9665
(301) 292-2778
Mailing address
3102 FLORAL PARK RD, CLINTON, MD 20735-9665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10211
MD
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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