Individual
AMANDA MARIE BUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
19 SOUTH ST STE 6, PORTLAND, ME 04101-3963
(207) 558-5539
Mailing address
19 SOUTH ST STE 6, PORTLAND, ME 04101-3963
(207) 558-5539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5660
ME
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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