JOHN BUCKLEY

WICHITA, KS
NPI1992121255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  650)
Enumeration Date2014-03-11
Last Update Date2014-03-11
Business Address
-- JOHN BUCKLEY LAC
3540 W DOUGLAS AVE
WICHITA, KS 67203-5455
Phone number: 316-943-2051
Mailing Address
-- JOHN BUCKLEY LAC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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