MR. James William Gardner, MA, LCPC,CADC

NPI #1669693735 in Belleville, Illinois

Provider Information

NPI Number
1669693735
Entity Type
Individual
Name
MR. James William Gardner, MA, LCPC,CADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MA, LCPC,CADC
Enumeration Date
May 2, 2007
Last Updated
Apr 28, 2017

Practice Location

Address
2120 SCHEEL ST APT D
ZIP Code
62221-4182
Phone
(217) 454-0192

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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