Provider Demographics
NPI:1356436877
Name:BUKER, WILLIAM JAMES (DMIN, LPC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:BUKER
Suffix:
Gender:M
Credentials:DMIN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9524 SOUTH MAPLEWOOD AVE.
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-764-8381
Mailing Address - Fax:
Practice Address - Street 1:5215 E 71ST ST
Practice Address - Street 2:SUITE 1300
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6341
Practice Address - Country:US
Practice Address - Phone:918-299-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional