Individual
JACKIE L BUOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
66 BRIDGE ST, JEWETT SCHOOL, BUCKSPORT, ME 04416-4087
(207) 469-2755
Mailing address
PO BOX 1729, JEWETT SCHOOL, BUCKSPORT, ME 04416-1729
(207) 469-2755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3529
ME
Other
Enumeration date
01/25/2011
Last updated
04/04/2017
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