Provider Demographics
NPI:1942350731
Name:CHRIS BUCK AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CHRIS BUCK AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:E CHRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LSW, CEAP, SAP
Authorized Official - Phone:614-531-4797
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-0396
Mailing Address - Country:US
Mailing Address - Phone:614-531-4797
Mailing Address - Fax:614-837-7294
Practice Address - Street 1:55 N HIGH ST
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1142
Practice Address - Country:US
Practice Address - Phone:614-531-4797
Practice Address - Fax:617-837-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-002960101YM0800X
OHS-005803104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW28642Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
OHSW28641Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER