Individual
MICHELLE LYNN BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, CCS
Contact information
Practice address
10 RAILROAD ST, RUMFORD, ME 04276-2013
(207) 623-8411
Mailing address
PO BOX 454, SOUTH PARIS, ME 04281-0454
(207) 381-7262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6884
ME
1041C0700X
Clinical Social Worker
Primary
LC20869
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS7498
CERTIFIED CLINICAL SUPERVISOR
ME
01
—
LADC
LC6884
ME
01
—
LC20869
LCSW
ME
Enumeration date
12/06/2016
Last updated
11/10/2023
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