Dustin Hayes Gardner, CG60997225 - AAC
NPI #1861026031 in Centralia, Washington
Provider Information
- NPI Number
- 1861026031
- Entity Type
- Individual
- Name
- Dustin Hayes Gardner, CG60997225 - AAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- CG60997225 - AAC
- Enumeration Date
- Feb 26, 2020
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 3510 STEELHAMMER DR
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-4551
- Phone
- (360) 623-8020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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