Individual
JOSHUA BUCKMASTER D'ALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
181 CORPORATE DR, BANGOR, ME 04401-4314
(207) 992-2636
(207) 992-2636
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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