Individual
NICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
285 RAYMOND HILL RD, RAYMOND, ME 04071-6148
(207) 671-7804
Mailing address
285 RAYMOND HILL RD, RAYMOND, ME 04071-6148
(207) 671-7804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5906
ME
Other
Enumeration date
09/07/2018
Last updated
10/26/2024
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