Healthcare Provider Details

I. General information

NPI: 1356391825
Provider Name (Legal Business Name): CATHERINE F BUFORD LPC CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 N. 9TH ST. AUGUSTA BEHAVIORAL HEALTH CLINIC
AUGUSTA AR
72335
US

IV. Provider business mailing address

2533 SFC 722
FORREST CITY AR
72335-7978
US

V. Phone/Fax

Practice location:
  • Phone: 870-347-3254
  • Fax: 870-347-1102
Mailing address:
  • Phone: 870-261-5483
  • Fax: 870-633-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number#P8911027
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: