Individual provider · Type 1 NPI
Jan M. Buck, LPC
Professional Counselor · Bedford, TX
NPI number
1710190574
Active
Practice location
2900 Hwy 121, Suite 140
Bedford, TX 76021
Mailing address
209 W. 2nd Street, Suite 128
Fort Worth, TX 76111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 16585 (TX) |
Professional Counselor: Definition to come...
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About NPI 1710190574
Jan M. Buck, LPC's National Provider Identifier is 1710190574, issued on May 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bedford, TX. The record was last updated on Jul 8, 2007.