Individual
KIRBY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
60 MAIN ST, 300, NASHUA, NH 03060-2720
(951) 547-2909
Mailing address
4 SWIFT LN, MERRIMACK, NH 03054-4840
(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
11/04/2013
Last updated
06/24/2014
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