Provider Demographics
NPI:1386849834
Name:BUCKLER, FREDA M (LCMHC)
Entity Type:Individual
Prefix:
First Name:FREDA
Middle Name:M
Last Name:BUCKLER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-4895
Mailing Address - Country:US
Mailing Address - Phone:603-672-5005
Mailing Address - Fax:603-672-6501
Practice Address - Street 1:16 ELM ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4895
Practice Address - Country:US
Practice Address - Phone:603-672-5005
Practice Address - Fax:603-672-6501
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health