Healthcare Provider Details

I. General information

NPI: 1427248723
Provider Name (Legal Business Name): JAMES ROBERT BUFORD III LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1066 LEXINGTON AVE
MANSFIELD OH
44907-2250
US

IV. Provider business mailing address

1066 LEXINGTON AVE
MANSFIELD OH
44907-2250
US

V. Phone/Fax

Practice location:
  • Phone: 419-709-8447
  • Fax: 419-526-5525
Mailing address:
  • Phone: 419-709-8447
  • Fax: 419-526-5525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE 0002901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: