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Michael Kenneth Buza
Mental Health Counselor in Dixon, Illinois
NPI 1417558719

Michael Kenneth Buza is a Mental Health Counselor based in Dixon, IL and is specialized in Mental Health. Michael Kenneth Buza practices in Dixon, IL. The NPI Number for Michael Kenneth Buza is 1417558719 and holds a License No. (Illinois).

The current practice location address for Michael Kenneth Buza is 325 Illinois Rt 2, Dixon, IL and can be reached out via phone at 815-284-6611.

Location: 325 Illinois Rt 2, Dixon, IL, 61021-9118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417558719
Provider Name
Michael Kenneth Buza
Credential
Provider Entity Type
Individual
Gender
Male
Address
325 Illinois Rt 2, Dixon, IL, 61021-9118
Phone Number
815-284-6611
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider Business Mailing Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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