LATRICIA BUCKNER LPC
NPI 1689075137
Counselor - Professional in Bridgeton, MO
Active since September 15, 2014
About Latricia Buckner Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATRICIA BUCKNER LPC (NPI 1689075137) is an individual professional provider in Bridgeton, Missouri, licensed in Missouri (2014027994) and active in the NPI registry since September 2014.
NPPES Registry Identity
NPI1689075137
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLATRICIA BUCKNERCredential: LPC
Location Address3751 PENNRIDGE DR STE 113Bridgeton, MO 63044-1244
Mailing Address3751 Pennridge Dr Ste 113Bridgeton, MO 63044-1244 · (314) 570-2862
Phone(314) 570-2862
Sole ProprietorNo
Enumeration DateSeptember 15, 2014
Last NPPES UpdateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1689075137 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2014027994
3751 PENNRIDGE DR STE 113, Bridgeton, MO 63044
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3751 PENNRIDGE DR STE 113
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689075137, enumerated as an "individual" on September 15, 2014.
The provider is located at 3751 PENNRIDGE DR STE 113 BRIDGETON, MO 63044 and the phone number is (314) 570-2862.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
