Buckley, Melvetta

Buckley, Melvetta is an sole proprietor health care provider with primary practice located at 257 Minocqua St , Park Forest IL 60466-1942. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Buckley, Melvetta can be contacted via phone (708) 937-5745.

Contact Information

Primary practice address
257 Minocqua St Park Forest IL 60466-1942
Phone: (708) 937-5745
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1689283632
LBN Legal business name Buckley, Melvetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2020
Last updated Dec 9th, 2022 - about 4 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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