Individual provider · Type 1 NPI

John Kenneth Bukenberger, MFT

Mental Health Counselor · Bishop, CA

NPI number 1871646497 Active

Practice location

52 N Tu Su Ln
Bishop, CA 93514-8058

Fax (760) 873-3254

Mailing address

PO Box 7979
Mammoth Lakes, CA 93546-7979

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC24829 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1871646497

John Kenneth Bukenberger, MFT's National Provider Identifier is 1871646497, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bishop, CA. The record was last updated on Jul 8, 2007.