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Thierry Buckner, CDP

Counselor, Addiction (Substance Use Disorder) in Olympia, WA. Individual provider (NPI-1).

NPI number1225567415
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1225567415
Entity type
Individual (NPI-1)
Name
Thierry Buckner
Credential
CDP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CP60010886WAYes

Practice location

2400 Bristol Court Sw
Olympia, WA 98502

Phone 360-357-2482

Mailing address

2400 Bristol Ct Sw
Olympia, WA 98502-6004

Phone 360-357-2482

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