Individual provider · Type 1 NPI

Susan G. Buckallew, MED, LPC

Professional Counselor · Kirksville, MO

NPI number 1386952604 Active

Practice location

2015 S Halliburton St
Kirksville, MO 63501-4646

Mailing address

1101 Jamison St
Kirksville, MO 63501-3943

Other practice locations

  • 900 E Laharpe St, Kirksville, MO 63501-4520 · (660) 665-1962
  • 203 E Commercial St, Kahoka, MO 63445-1710 · (660) 727-1111
  • 1101 Jamison St, Kirksville, MO 63501-3943 · (660) 665-1962

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2010032751 (MO)

Professional Counselor: Definition to come...

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About NPI 1386952604

Susan G. Buckallew, MED, LPC's National Provider Identifier is 1386952604, issued on Sep 21, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kirksville, MO. The record was last updated on Jul 28, 2026.