NPI

Carol Ruth Buckner

NPI 1083790455

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Credential
LCPC
Type
Individual
Enumeration date
2006-10-28
Last updated
2007-07-08

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Specialties

Licenses

License IL
LCPC180006122

Location

Practice location
1100 E Norris Drive
City
Ottawa IL
Postal code
61350-3678
Phone
(815) 434-4382
Fax
(815) 431-5528

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Professional Counselors in Ottawa, IL. 21 with this primary taxonomy in the public file.

Other NPIs in Ottawa, IL. 483 records in the public file.

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