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NPI Code Detail

MEDICARE: PRISCILLA BUCKINGHAM

MEDICARE: PRISCILLA BUCKINGHAM
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
1101YA0400XAddiction (Substance Use Disorder) CounselorOH
2101YM0800XMental Health CounselorOH
3171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1669314407
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA BUCKINGHAM
Provider Business Mailing Address
First Line : 1856 CEDAR HILL RD
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4178
Country : US
Telephone Number : 740-796-8835
Fax Number :
Provider Business Practice Location Address
First Line : 333 E CENTER ST STE 301
Second Line :
City : MARION
State : OH
Zip : 43302-4142
Country : US
Telephone Number : 740-692-9022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ PRISCILLA BUCKINGHAM ” Practice Location

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