Provider Demographics
NPI:1013758127
Name:BUCHMAN, RAINEY V (MS, LPC-IT)
Entity type:Individual
Prefix:
First Name:RAINEY
Middle Name:V
Last Name:BUCHMAN
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 CALEDONIA ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54603-3048
Mailing Address - Country:US
Mailing Address - Phone:608-440-3295
Mailing Address - Fax:
Practice Address - Street 1:1526 ROSE ST # 100
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-4500
Practice Address - Country:US
Practice Address - Phone:608-665-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7852226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health