NAQUIELA BUCKNER I


Address: 1780 Vernon St, Roseville, CA 95678-6311
Phone: 9167821111

NAQUIELA BUCKNER I (NPI# 1033655568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033655568
Entity Type Individual
Full Name NAQUIELA BUCKNER I
Credential CMA
Practice Address 1780 Vernon St
Roseville
CA 95678-6311
Practice Telephone 9167821111
Mailing Telephone 9167821111
Enumeration Date 2017-01-08
Last Update Date 2020-10-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
APCC7878 CA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist AMFT119229 CA Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1444 Florida Ave, Modesto, CA 953504400 2096618840 2096614840

Office Location

Street Address 1780 VERNON ST
City ROSEVILLE
State CA
Zip Code 95678-6311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114533064 Alexander V. Antipov, D.d.s., Inc. Dentist 911 Reserve Drive, Suite 150, Roseville, CA 95678 2020-09-16
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1083256051 Rosemary Ellen Robben Community Health Worker Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 2019-10-11
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1174093793 Neftali Hernandez Behavior Technician 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 2018-11-26
1467951798 Amarantha Martinez Behavior Technician 1900 Quail Ridge Road, #99, Roseville, CA 95678 2018-02-01
1093231276 Compassionate Home Health, Ltd Home Health 1100 Melody Lane, Suite 106, Roseville, CA 95678 2017-08-18
1629598891 Jimena Andrade Martins Behavior Technician 602 Atkinson Street, Roseville, CA 95678 2017-06-20
1891221057 Zride Inc Taxi 106 Church Street, Suite 2, Roseville, CA 95678 2017-05-10
1568997641 Joline Trinh Pharmacist 1030 Pleasant Grove Boulevard, Roseville, CA 95678 2017-04-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750999629 Cedar Rose Lundgren Counselor 1611 County Road B W Ste 204, Roseville, MN 55113-4053 2020-07-16
1720645443 Michele Marie Villarreal Counselor 720 Sunrise Ave Ste 200c, Roseville, CA 95661-4508 2019-05-29
1346803038 Anna D Scanlan Counselor 1711 County Road B W Ste 108s, Roseville, MN 55113-4036 2019-04-17
1356804702 Ronald Ramsey Counselor 30581 Hidden Pines Ln # 30581, Roseville, MI 48066-7301 2019-04-12
1295295509 Stephen Douglas Smith Counselor 2591 Parkcrest Way, Roseville, CA 95747-7140 2019-03-22
1104384825 Gene H Burns Counselor 300 Harding Blvd Ste 116c, Roseville, CA 95678-2472 2019-03-12
1033676457 The Place Within Counselor 720 Sunrise Ave #d115, Roseville, CO 95661 2019-02-21
1043775109 Ryan Jibson Counselor 420 Folsom Rd Ste D, Roseville, CA 95678-2767 2019-02-04
1649745837 Courtney Jean Smith Counselor 257 Cedar St, Roseville, CA 95678-2539 2018-10-04
1174072979 Sarah Champany Counselor 1830 Sierra Gardens Dr., Roseville, CA 95661 2016-09-22
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Competitor

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City ROSEVILLE
Zip Code 95678

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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