Individual
NICOLE M KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
229 WESTERN AVENUE, BRATTLEBORO, VT 05301
(347) 342-6259
(802) 419-9706
Mailing address
PO BOX 301, EAST DOVER, VT 05341
(347) 342-6259
(802) 419-9706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005155-1
NY
101YM0800X
Mental Health Counselor
068.0087757
VT
1041C0700X
Clinical Social Worker
Primary
068.0087757
VT
Other
Enumeration date
07/10/2007
Last updated
11/16/2023
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