Kimberly Kay Buksa MA

NPI 1750699591 - Counselor - 101Y00000X

NPI Details
NPI 1750699591
Gender Female
Enumeration Date 09/14/2010
Last Updated 05/01/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
205 KELLER ST
STE 205
PETALUMA CA, 94952-2878, US
Phone (707) 523-8009
Fax (707) 766-0556
Business Location
314 BOND AVE
PETALUMA CA, 94954-5647, US
Phone (415) 623-9514
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State California
License Number 2515OOOOOX
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According to our database, Kimberly Kay Buksa MA NPI is 1750699591, taxonomy code is 101Y00000X and license number is 2515OOOOOX, license state is located at California. Kimberly Kay Buksa MA physically located at 205 Keller St, Petaluma CA, 94952-2878. NPI Number Kimberly Kay Buksa MA has the Individual type.

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1750699591 NPI number is provided on an as is basis without warranty of any kind. 1750699591 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Kay Buksa MA are for informational purposes only.