Colleen E Gardner, LCPC, NCC

NPI #1235343542 in Fruitland, Idaho

Provider Information

NPI Number: 1235343542
Entity Type: Individual
Name: Colleen E Gardner, LCPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC, NCC
Enumeration Date: May 9, 2007
Last Updated: Dec 3, 2013

Practice Location

Address: 425 S. WHITLEY DR., SUITE #2
City: Fruitland
State: Idaho
ZIP Code: 83610
Phone: (208) 550-5063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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