Individual provider · Type 1 NPI
Edward Gerard Buckenham Iii, MA, LPC
Professional Counselor · Rome, GA
NPI number
1710160320
Active
Practice location
104 E 5th Ave
Rome, GA 30161-3128
Mailing address
10 Royal Oak Dr NE
Rome, GA 30165-9331
Other practice locations
- 10 Royal Oak Dr NE, Rome, GA 30165-9331 · (706) 204-9303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | APC001620 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC006095 (GA) |
Professional Counselor: Definition to come...
5 other providers at this address
- Counseling for Growth and Enrichment, LLCCommunity/Behavioral Health Agency Rome, GA NPI 1982940425
- Transitions Psychological and Consultative Services, LLCClinical Psychologist Rome, GA NPI 1174979975
- Christopher L. Wheelus, M.DIV., MAMarriage & Family Therapist Rome, GA NPI 1417140666
- Rebecca Lynn Girgis, L.P.C., RPT&SProfessional Counselor Rome, GA NPI 1396914537
- Suzanne Marie Fischer, PhDClinical Psychologist Rome, GA NPI 1851460810
Other professional counselor providers in Rome
- Lisa Michele Mbriwa, M.A., LPCProfessional Counselor Rome, GA NPI 1033457221
- Kara HicksProfessional Counselor Rome, GA NPI 1063951440
- Marie FraserProfessional Counselor Rome, GA NPI 1063956472
- Cayla Danielle StrongProfessional Counselor Rome, GA NPI 1093557993
- Whitney WalkerProfessional Counselor Rome, GA NPI 1124467683
- Marissa Phillips BurkhalterProfessional Counselor Rome, GA NPI 1164107520
- Monica BurgeProfessional Counselor Rome, GA NPI 1164988994
- Candice Aycock, LPCProfessional Counselor Rome, GA NPI 1174993950
About NPI 1710160320
Edward Gerard Buckenham Iii, MA, LPC's National Provider Identifier is 1710160320, issued on Dec 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rome, GA. The record was last updated on Sep 21, 2022.