Buckner, Debra Denise

Buckner, Debra Denise is an sole proprietor health care provider with primary practice located at 5555 N Tacoma Ave Suite 201, Indianapolis IN 46220-3512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Buckner, Debra Denise can be contacted via phone (317) 259-7122.

Contact Information

Primary practice address
5555 N Tacoma Ave Suite 201 Indianapolis IN 46220-3512
Phone: (317) 259-7122
Fax: (317) 259-7167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000697-A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002010-A Indiana

Profile Details

NPI number 1588948822
LBN Legal business name Buckner, Debra Denise
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2011
Last updated Oct 5th, 2011 - about 15 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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