Provider Demographics
NPI:1174997167
Name:BUFFINGTON, BRANDI (MS CRC LPCA)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:MS CRC LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 CORNERSTONE DR # 165
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8404
Mailing Address - Country:US
Mailing Address - Phone:678-316-8215
Mailing Address - Fax:
Practice Address - Street 1:92 CORNERSTONE DR # 165
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8404
Practice Address - Country:US
Practice Address - Phone:678-316-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-14
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11792101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor