person
John Kenneth Bukenberger, MFT
Mental Health Counselor in Bishop, California
NPI 1871646497

John Kenneth Bukenberger is a Mental Health Counselor based in Mammoth Lakes, CA and is specialized in Mental Health. John Kenneth Bukenberger practices in Bishop, CA and has the professional credentials of MFT. The NPI Number for John Kenneth Bukenberger is 1871646497 and holds a License No. MFC24829 (California).

The current practice location address for John Kenneth Bukenberger is 52 N Tu Su Ln, Bishop, CA and can be reached out via phone at 760-873-6394 and via fax at 760-873-3254.

Location: 52 N Tu Su Ln, Bishop, CA, 93546-7979
person
Provider Profile Details
NPI Number
1871646497
Provider Name
John Kenneth Bukenberger
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
52 N Tu Su Ln, Bishop, CA, 93546-7979
Phone Number
760-873-6394
Fax Number
760-873-3254
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659433191 01 CA ORGANIZATION NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
52 N Tu Su Ln
City
State
Zip
93514-8058
Phone Number
760-873-6394
Fax Number
760-873-3254
person
Provider Business Mailing Address Details
Address
52 N Tu Su Ln
City
State
Zip
93514-8058
Phone Number
760-873-6394
Fax Number
760-873-3254
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC24829 (California)
Definition
Definition to come...
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