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Organization

MIND VALIDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIRBY GARDNER LCMHC (OWNER)
(951) 547-2909
Entity
Organization

Contact information

Practice address
60 MAIN ST, 300, NASHUA, NH 03060-2720
(951) 547-2909
Mailing address
60 MAIN ST, 300, NASHUA, NH 03060-2720
(603) 714-1725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
988
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3088807
NH
Enumeration date
06/24/2014
Last updated
06/24/2014
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