Individual provider · Type 1 NPI

Kourtney Buckallew

Counselor · Kirksville, MO

NPI number 1114569027 Active

Practice location

1101 Jamison St
Kirksville, MO 63501-3943

Mailing address

118 N 2nd St Ste 200
St. Charles, MO 63301-2894

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114569027

Kourtney Buckallew's National Provider Identifier is 1114569027, issued on Oct 11, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kirksville, MO. The record was last updated on Sep 18, 2024.