Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edmund Tayloe Buckman IV, LCASA, LPCA

Individual provider Counselor · NPI 1306305578

Edmund Tayloe Buckman IV, LCASA, LPCA is a Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
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Practice location Address checks out

614 Capital Blvd Apt 213
Raleigh, NC 27603-1157
Phone: (252) 943-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 25328 (NC)

Record details

NPI number1306305578
Entity typeIndividual (Type 1)
GenderMale
Credentials LCASA , LPCA
Sole proprietorYes
NPI enumeratedMarch 18, 2019
Last updated in NPPESMarch 18, 2019

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