Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD GERARD BUCKENHAM III, MA, LPC
Active Sole ProprietorMR. EDWARD GERARD BUCKENHAM III, MA, LPC is a Professional Counselor healthcare provider located in ROME, Georgia. NPI 1710160320 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROME, GA
Registration Details
- NPI Number
- 1710160320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2007 (18.647410260502 yrs)
- Last Updated
- Sep 21, 2022
- Licenses
-
APC001620 (GA)LPC006095 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 E 5TH AVEROME, GA, 301613128Browse GA providers · Browse ZIP 30161
- Phone
- 7062356990
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ROME, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA DEANN SIMON | LPC | 1245323500 |
| DEIDRA E. GALLOWAY-COUEY | LPC | 1669598686 |
| MRS. ALICE HARRISON WILLIAMS | LPC | 1295931335 |
| MS. KAY COLLINS MCGIVAREN | LPC | 1639368962 |
| MENTA MICHELLE KNIGHT | — | 1851578736 |
| REBECCA LYNN GIRGIS | L.P.C., RPT&S | 1396914537 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.