Provider Demographics
NPI:1588785026
Name:BUCHNESS, STEPHEN GERARD (MS, LCPC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GERARD
Last Name:BUCHNESS
Suffix:
Gender:M
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 EMMORTON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2582
Mailing Address - Country:US
Mailing Address - Phone:410-569-5900
Mailing Address - Fax:410-569-7105
Practice Address - Street 1:3105 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2582
Practice Address - Country:US
Practice Address - Phone:410-569-5900
Practice Address - Fax:410-569-7105
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0815101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional