NPI 1093579518 · live from the CMS NPI Registry
Jada Deanise Buckner
Marriage & Family Therapist in Oklahoma City, OK. National Provider Identifier 1093579518, active.
NPI record
| NPI | 1093579518 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 6803 S Western Ave Ste 405, Oklahoma City, OK 73139 |
| Practice phone | 405-625-4742 |
| Enumerated | February 6, 2024 |
| Last updated | February 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.