Provider Demographics
NPI:1144343872
Name:PLUMB, KRISTIE (LCMHC, LADC)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:PLUMB
Suffix:
Gender:F
Credentials:LCMHC, LADC
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:
Other - Last Name:ROULEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC, LADC
Mailing Address - Street 1:39 SIMON ST
Mailing Address - Street 2:UNIT 2A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3046
Mailing Address - Country:US
Mailing Address - Phone:603-888-4347
Mailing Address - Fax:
Practice Address - Street 1:39 SIMON ST
Practice Address - Street 2:UNIT 2A
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:603-888-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH547101YA0400X
NH481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)