Provider Demographics
NPI:1992179196
Name:BUCK, ABRIANNA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ABRIANNA
Middle Name:
Last Name:BUCK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 36TH AVE SW APT 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2701
Mailing Address - Country:US
Mailing Address - Phone:206-676-2733
Mailing Address - Fax:
Practice Address - Street 1:2701 SYLVAN DR W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-2740
Practice Address - Country:US
Practice Address - Phone:206-676-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-25
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60884941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health