Individual provider · Type 1 NPI

Jason Buckles, LPCC

Professional Counselor · Albuquerque, NM

NPI number 1376622118 Active

Practice location

2403 San Mateo Blvd NE, Suite W4
Albuquerque, NM 87110-4058

Fax (505) 242-2775

Mailing address

PO Box 6493
Albuquerque, NM 87197-6493

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X78481 (NM)

Professional Counselor: Definition to come...

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About NPI 1376622118

Jason Buckles, LPCC's National Provider Identifier is 1376622118, issued on Nov 3, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.