Buckley, Coleen

Buckley, Coleen is an sole proprietor health care provider with primary practice located at 2178 Johnson Ave , San Luis Obispo CA 93401-4535. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckley, Coleen can be contacted via phone (805) 781-4700.

Contact Information

Primary practice address
2178 Johnson Ave San Luis Obispo CA 93401-4535
Phone: (805) 781-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 103210 California

Profile Details

NPI number 1174988190
LBN Legal business name Buckley, Coleen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2015
Last updated Oct 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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