Latricia Buckner, LPC Valid NPI
Individual provider · Professional Counselor · Bridgeton, MO
- NPI
- 1689075137
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2014027994 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-09-15
- Last updated
- 2021-08-13
Practice location
3751 Pennridge Dr Ste 113
Bridgeton, MO 63044-1244
(314) 570-2862