Individual
MICHELLE LYNN BUCKMAN
Active
Individual
MICHELLE LYNN BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, CCS
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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