Individual provider · Type 1 NPI

Corey Buck

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1104384072 Active

Practice location

2980 Cedar St
San Diego, CA 92102-1599

Call (619) 239-1817 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1340110319 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104384072

Corey Buck's National Provider Identifier is 1104384072, issued on Mar 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Mar 8, 2019.