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NPI Code Detail

MEDICARE: MRS. JENNIFER A BUKER MS

MEDICARE: MRS. JENNIFER A BUKER MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor7368MA

General Provider Information

NPI Number : 1326195322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER A BUKER MS
Provider Business Mailing Address
First Line : 1 WASHINGTON ST
Second Line :
City : TAUNTON
State : MA
Zip : 02780-5293
Country : US
Telephone Number : 401-477-0185
Fax Number :
Provider Business Practice Location Address
First Line : 1 WASHINGTON ST
Second Line :
City : TAUNTON
State : MA
Zip : 02780-5293
Country : US
Telephone Number : 508-828-9116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 12/06/2023

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