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Edmund Tayloe Buckman IV, LCASA,LPCA
Counselor in Raleigh, North Carolina
NPI 1306305578

Edmund Tayloe Buckman IV is a Counselor based in Raleigh, NC. Edmund Tayloe Buckman IV practices in Raleigh, NC and has the professional credentials of LCASA,LPCA. The NPI Number for Edmund Tayloe Buckman IV is 1306305578 and holds a License No. 25328 (North Carolina).

The current practice location address for Edmund Tayloe Buckman IV is 614 Capital Blvd Apt 213, Raleigh, NC and can be reached out via phone at 252-943-1536.

Location: 614 Capital Blvd Apt 213, Raleigh, NC, 27603-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306305578
Provider Name
Edmund Tayloe Buckman IV
Credential
LCASA,LPCA
Provider Entity Type
Individual
Gender
Male
Address
614 Capital Blvd Apt 213, Raleigh, NC, 27603-1157
Phone Number
252-943-1536
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
614 Capital Blvd Apt 213
City
Raleigh
State
North Carolina
Zip
27603-1157
Phone Number
252-943-1536
Fax Number
person
Provider Business Mailing Address Details
Address
614 Capital Blvd Apt 213
City
Raleigh
State
North Carolina
Zip
27603-1157
Phone Number
252-943-1536
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
25328 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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