Provider Demographics
NPI:1932240538
Name:BUCK, E. CHRISTIANE (MED, LPCC-S, LSW)
Entity Type:Individual
Prefix:MRS
First Name:E.
Middle Name:CHRISTIANE
Last Name:BUCK
Suffix:
Gender:F
Credentials:MED, LPCC-S, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:614-837-4784
Practice Address - Street 1:123 SOUTH BROAD STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-0396
Practice Address - Country:US
Practice Address - Phone:614-531-4797
Practice Address - Fax:614-837-7294
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0002960101YA0400X, 101YM0800X, 101YP2500X
OHS-00058031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical