person
Mr. Edward Gerard Buckenham III, MA,LPC
Professional Counselor in Rome, Georgia
NPI 1710160320

Edward Gerard Buckenham III is a Professional Counselor based in Rome, GA and is specialized in Professional. Edward Gerard Buckenham III practices in Rome, GA and has the professional credentials of MA,LPC. The NPI Number for Edward Gerard Buckenham III is 1710160320 and holds a License No. APC001620 (Georgia).

The current practice location address for Edward Gerard Buckenham III is 104 E 5Th Ave, Rome, GA and can be reached out via phone at 706-235-6990. You can also correspond with Edward Gerard Buckenham III through the mailing address at 10 ROYAL OAK DR NE, ROME, GA - 30165-9331 (mailing address contact number: 706-295-0440).

Location: 104 E 5Th Ave, Rome, GA, 30165-9331
person
Provider Profile Details
NPI Number
1710160320
Provider Name
Edward Gerard Buckenham III
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
104 E 5Th Ave, Rome, GA, 30165-9331
Phone Number
706-235-6990
Fax Number
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 E 5Th Ave
City
State
Zip
30161-3128
Phone Number
706-235-6990
Fax Number
person
Provider Business Mailing Address Details
Address
10 Royal Oak Dr Ne
City
State
Zip
30165-9331
Phone Number
706-295-0440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
APC001620 (Georgia)
Definition
Definition to come...
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