Individual
JENNIFER G BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9 HILLCREST AVE, RANDOLPH, ME 04346-5131
(207) 582-9206
(207) 582-9653
Mailing address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3528
ME
101YP2500X
Professional Counselor
XL2989
ME
Other
Enumeration date
04/19/2007
Last updated
06/10/2021
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