Donitta L Gardiner

NPI #1154345783 in Mcconnell Afb, Kansas

Provider Information

NPI Number
1154345783
Entity Type
Individual
Name
Donitta L Gardiner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
57950 LEAVENWORTH ST
State
Kansas
ZIP Code
67221-3506
Phone
(316) 759-5864

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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