person
Vida Violeta Bucknavage, MA,MFTI
Mental Health Counselor in Springfield, Oregon
NPI 1992012835

Vida Violeta Bucknavage is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Vida Violeta Bucknavage practices in Springfield, OR and has the professional credentials of MA,MFTI. The NPI Number for Vida Violeta Bucknavage is 1992012835 and holds a License No. (Oregon).

The current practice location address for Vida Violeta Bucknavage is 3995 Marcola Rd, Springfield, OR and can be reached out via phone at 541-726-1465 and via fax at 541-726-5085.

Location: 3995 Marcola Rd, Springfield, OR, 97477-7948
person
Provider Profile Details
NPI Number
1992012835
Provider Name
Vida Violeta Bucknavage
Credential
MA,MFTI
Provider Entity Type
Individual
Gender
Female
Address
3995 Marcola Rd, Springfield, OR, 97477-7948
Phone Number
541-726-1465
Fax Number
541-726-5085
Provider Enumeration Date
09/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3995 Marcola Rd
City
State
Zip
97477-7948
Phone Number
541-726-1465
Fax Number
541-726-5085
person
Provider Business Mailing Address Details
Address
3995 Marcola Rd
City
State
Zip
97477-7948
Phone Number
541-726-1465
Fax Number
541-726-5085
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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