Most Relevant Information
Provider Data
| NPI Number: | 1003571860 |
| Provider Name: | AUSTYN ELIZABETH BUCKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/05/2021 |
| Last Updated: | 11/05/2021 |
Provider Practice Location
241 WRIGHT ST
MARQUETTE
MI
498551955
Practice Location Phone/Fax
| Phone: | 9062287611 |
| Fax: |
Provider Mailing Location
97 S 4TH ST STE C
ISHPEMING
MI
498492168
Provider Mailing Phone/Fax
| Phone: | 9062289699 |
| Fax: |