Provider Demographics
NPI:1700469582
Name:MORENO-BUCKMON, LYNN MARIE (MSED, NCC, LPC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:MORENO-BUCKMON
Suffix:
Gender:F
Credentials:MSED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2649 MEDINA ST
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-3067
Mailing Address - Country:US
Mailing Address - Phone:856-503-9320
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 168 STE A1
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3207
Practice Address - Country:US
Practice Address - Phone:856-266-4983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01153300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional