Individual provider · Type 1 NPI
Jessica Rae Buczek, MS, LPCC
Mental Health Counselor · Dayton, OH
NPI number
1255792990
Active
Practice location
30 W Rahn Rd Ste 26
Dayton, OH 45429-2291
Other practice locations
- 267 Regency Ridge Dr, Dayton, OH 45459-4221 · (937) 396-7077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | C.0900463 (OH) |
| Mental Health Counselor Primary | 101YM0800X | E.1800567 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1255792990
Jessica Rae Buczek, MS, LPCC's National Provider Identifier is 1255792990, issued on Mar 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Jun 2, 2020.