Provider Information for 1609040161
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Mrs. JOY ANN BUCKLEY LPC LAC
Other Names:Former Name:Miss JOY ANN MEYERSSex: Female
NPI: 1609040161
Last Updated: 2013-10-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1609040161 | ||||||||||||
| Enumeration Date | 2008-04-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1761 COUNTY ROAD 5 DIVIDE, CO 80814-9101 United States Phone: 719-200-7209 | Fax:719-687-9668 | ||||||||||||
| Primary Practice Address | 1761 COUNTY ROAD 5 DIVIDE, CO 80814-9101 United States Phone: 719-200-7209 | Fax:719-687-9668 | ||||||||||||
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