Organization
SHELLEY CUSHNER GARDNER COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY CUSHNER GARDNER LCMHC (OWNER/PRACTITIONER)
(603) 339-1012
Entity
Organization
Contact information
Practice address
20 MARY E CLARK DR, SUITE 8, HAMPSTEAD, NH 03841-2292
(603) 339-1012
Mailing address
20 MARY E CLARK DR, SUITE 8, HAMPSTEAD, NH 03841-2292
(603) 339-1012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
93
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962527044
INDIVIDUAL NPI
NH
Enumeration date
05/17/2016
Last updated
05/17/2016
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