Provider Demographics
NPI:1275831927
Name:BUCCI, MARIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:BUCCI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 RIVERSIDE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5045
Mailing Address - Country:US
Mailing Address - Phone:614-874-0178
Mailing Address - Fax:614-874-0179
Practice Address - Street 1:6375 RIVERSIDE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5045
Practice Address - Country:US
Practice Address - Phone:614-874-0178
Practice Address - Fax:614-874-0179
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 1100029101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional