Provider Demographics
NPI:1346881935
Name:BUCK, CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BUCK
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 1:100 RIDGEWAY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7155
Mailing Address - Country:US
Mailing Address - Phone:501-617-3589
Mailing Address - Fax:501-623-2260
Practice Address - Street 1:2213 N REYNOLDS RD STE 1
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2501
Practice Address - Country:US
Practice Address - Phone:501-847-0081
Practice Address - Fax:501-847-6905
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1910137101YM0800X
ARP2211011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health