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General NPI Number Information
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NPI Number | 1275694440
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Entity Type | Individual
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Provider Name | MAUREEN A BUCKLEY LMHC, LADC-I
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 232 1ST ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-4749
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Country | US
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Telephone | 413-442-7474
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Fax | 413-442-7474
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Provider Business Mailing Address
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Address Line | PO BOX 194
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City | DALTON
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State | MA
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Zip | 01227-0194
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Country | US
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Telephone | 413-684-3455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 141
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5458
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License Number State | MA
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