Peninsula Counseling and Consulting INC Ryan Gardner
NPI #1265044168 in Berkeley, California
Provider Information
- NPI Number
- 1265044168
- Entity Type
- Organization
- Organization Name
- Peninsula Counseling and Consulting INC Ryan Gardner
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 21, 2020
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 3099 TELEGRAPH AVE
- City
- Berkeley
- State
- California
- ZIP Code
- 94705-2035
- Phone
- (650) 644-4454
Authorized Official
- Name
- RYAN GARDNER, MBA, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (510) 778-4494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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