Individual
MS. JILL B GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
78 LARKIN ST APT 2, BANGOR, ME 04401-6214
(207) 478-7785
Mailing address
78 LARKIN ST APT 2, BANGOR, ME 04401-6214
(207) 478-7785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6547
ME
1041C0700X
Clinical Social Worker
Primary
LC23944
ME
Other
Enumeration date
11/03/2016
Last updated
10/07/2024
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