John Gardner

NPI #1215472717 in Eupora, Mississippi

Provider Information

NPI Number: 1215472717
Entity Type: Individual
Name: John Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 20, 2016
Last Updated: Dec 20, 2016

Practice Location

Address: 1660 VETERANS MEMORIAL BLVD
City: Eupora
State: Mississippi
ZIP Code: 39744-2048
Phone: (662) 258-8147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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