Allie Buckwalter
Counselor, Professional in Luling, LA. Individual provider (NPI-1).
NPI number1164054599
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1164054599
- Entity type
- Individual (NPI-1)
- Name
- Allie Buckwalter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 8699 | LA | Yes |
Practice location
13101 River RdLuling, LA 70070-4165
Phone 985-331-1999
Mailing address
13101 River RdLuling, LA 70070-4165
Phone 985-331-1999
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