Individual provider · Type 1 NPI

Beverly Gardner

Professional Counselor · Colorado Springs, CO

NPI number 1003904152 Active

Practice location

10 Boulder Crescent St, Suite 203F
Colorado Springs, CO 80903-3344

Fax (866) 703-1432

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1820 (CO)

Professional Counselor: Definition to come...

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About NPI 1003904152

Beverly Gardner's National Provider Identifier is 1003904152, issued on Oct 11, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 3, 2012.