Individual
JEANA BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
32 N HIGH ST, BRIDGTON, ME 04009-1125
(207) 647-5629
Mailing address
11 POND VIEW DR, OTISFIELD, ME 04270-6609
(207) 647-5629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC4638
MA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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