Individual provider · Type 1 NPI

Jennifer G. Buckingham, LCPC

Professional Counselor · Randolph, ME

NPI number 1376760694 Active

Practice location

9 Hillcrest Ave
Randolph, ME 04346-5131

Call (207) 582-9206 Map

Fax (207) 582-9653

Mailing address

901 Washington Ave
Portland, ME 04103-2737

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XXL2989 (ME)
Professional Counselor Primary 101YP2500XCC3528 (ME)

Professional Counselor: Definition to come...

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About NPI 1376760694

Jennifer G. Buckingham, LCPC's National Provider Identifier is 1376760694, issued on Apr 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Randolph, ME. The record was last updated on Jun 10, 2021.