Provider Demographics
NPI:1447859368
Name:BUFFORD, LUTHER GRAHAM (LPC, NCC, BC-TMH)
Entity type:Individual
Prefix:MR
First Name:LUTHER
Middle Name:GRAHAM
Last Name:BUFFORD
Suffix:
Gender:M
Credentials:LPC, NCC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 SHADES CREST RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1011
Mailing Address - Country:US
Mailing Address - Phone:205-259-9393
Mailing Address - Fax:
Practice Address - Street 1:119 SHADES CREST RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-1011
Practice Address - Country:US
Practice Address - Phone:205-259-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional