Healthcare Provider Details

I. General information

NPI: 1508140070
Provider Name (Legal Business Name): JAMES BUEHRING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 10/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 FRONT ST
SANTA CRUZ CA
95060-4402
US

IV. Provider business mailing address

126 FRONT ST
SANTA CRUZ CA
95060-4402
US

V. Phone/Fax

Practice location:
  • Phone: 831-427-3387
  • Fax: 831-427-1598
Mailing address:
  • Phone: 831-427-3387
  • Fax: 831-427-1598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: