Individual
MR. PAUL LIAM KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
25 COUNTRY CLUB RD UNIT 705, GILFORD, NH 03249-6977
(603) 706-0336
Mailing address
82 B RUMFOD, CONCORD, NH 03301
(603) 706-0336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0895
NH
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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