Provider Demographics
NPI:1902624703
Name:BUFFORD, CHARLIE FRANK III
Entity type:Individual
Prefix:MR
First Name:CHARLIE
Middle Name:FRANK
Last Name:BUFFORD
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48256
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99228-1256
Mailing Address - Country:US
Mailing Address - Phone:509-280-5009
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 48256
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99228-1256
Practice Address - Country:US
Practice Address - Phone:509-280-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor