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NPI Profile for JAHNA BUCKALOO in ADA, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI # | 1831563378 |
|
| Status | Active | |
| Credentials | M.S., LPC-U/S | |
| Entity | Individual | |
| Enumeration date | 11/20/2015 | |
| Last updated | 07/10/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JAHNA BUCKALOO
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JAHNA BUCKALOO, M.S., LPC-U/S