| Kailey Buck Llc | |
|
1680 E Joyce Blvd Fayetteville AR 72703-6214 | |
| (479) 309-0811 | |
| Not Available |
| Full Name | Kailey Buck Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1680 E Joyce Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Kailey Buck (MENTAL HEALTH PROFESSIONAL/OWNER) |
| Authorized Official Contact | 5017650352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kailey Buck Llc 4349 W Bell Flower Dr Fayetteville AR 72704-5112 Ph: (501) 765-0352 | Kailey Buck Llc 1680 E Joyce Blvd Fayetteville AR 72703-6214 Ph: (479) 309-0811 |
| NPI Number | 1316783384 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316783384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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