Melvetta Buckley

NPI #1689283632 in Park Forest, Illinois

Provider Information

NPI Number: 1689283632
Entity Type: Individual
Name: Melvetta Buckley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 27, 2020
Last Updated: Dec 9, 2022

Practice Location

Address: 257 MINOCQUA ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1942
Phone: (708) 937-5745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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