Provider / Organization | NPI | Date Certified |
---|---|---|
JEFFREY KARL BUIKEMA | 1073659801 | 2024-11-08 |
Jeffrey Karl Buikema is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073659801. Registration indicates Jeffrey Karl Buikema is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Jeffrey Karl Buikema PHD, LPC |
Practice Office Address | 201 MAIN ST STE 500 LA CROSSE, WI US |
Practice Office Telephone | 6086684005 |
Practice Office Fax | 6086684006 |
Mailing Address | 1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 551121789 US |
Business Telephone | 6516289566 |
Business Fax | 6516280411 |
Code | Practice | License No State |
---|---|---|
106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 229-124
WI |
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 4262
WI |