Organization
GLENN THERAPY, P.A.
Active
Other names
Nichelle Gardner, LCPC
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE GARDNER LCPC (OWNER/LCPC)
(207) 671-7804
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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