Individual
KELLY MARIE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Contact information
Practice address
101 MANCHESTER ST, MANCHESTER, NH 03101-2205
(603) 625-6980
(603) 625-6982
Mailing address
101 MANCHESTER ST, MANCHESTER, NH 03101-2205
(603) 625-6980
(603) 625-6982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0684
NH
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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