MS. Carol Ruth Buckner, LCPC

NPI #1083790455 in Ottawa, Illinois

Provider Information

NPI Number: 1083790455
Entity Type: Individual
Name: MS. Carol Ruth Buckner, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Oct 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1100 E NORRIS DRIVE
City: Ottawa
State: Illinois
ZIP Code: 61350-3678
Phone: (815) 434-4382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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