Provider Information for 1265186969
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JESSICA BUCHNER LMFT
Sex: Female
NPI: 1265186969
Last Updated: 2024-01-09
Certification Date: 2024-01-09
Certification Date: 2024-01-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265186969 | ||||||||
| Enumeration Date | 2022-02-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 19002 SUN PASS DR TOMBALL, TX 77377-7632 United States Phone: 832-370-1676 | Fax: | ||||||||
| Primary Practice Address | 2025 GUADALUPE ST STE 260 AUSTIN, TX 78705-5642 United States Phone: 312-578-9990 | Fax: | ||||||||
| Secondary Practice Address(es) | 19002 SUN PASS DR | ||||||||
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