Individual
EVERETT BUDDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
6498 COTTONTAIL TRL, BURLINGTON, KY 41005-9649
(859) 202-4628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161843
OH
101YP2500X
Professional Counselor
C.2204755
OH
Other
Enumeration date
09/17/2019
Last updated
07/18/2025
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