Linda G Buckley, MFT
Individual provider Active NPI Marriage & Family Therapist · Ft Bragg, CA
NPI 1154530608 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154530608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC35067 (CA)
- Practice address
- 247 N Main St
Ste J
Ft Bragg, CA 95437 - Phone
- (707) 964-7236
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35067 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC35067 | CA | Yes |
Addresses
Primary practice location
247 N Main St
Ste J
Ft Bragg, CA 95437
Mailing address
32350 Nameless Lane
Ft Bragg, CA 95437
Phone (707) 964-6680
Other providers in Ft Bragg, CA
- Rebecca Britton
- Jennifer Kay Brown
- Michael E. Brown
- Sanford Jay Brown
- Robert Donald Bruce
- Romeo Gonzales Buison
- Sara Bulakowski
- Hannah-Leigh Bull
- Lindsay Burkhardt
- Myra Connel Burt
All providers in Ft Bragg, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.