Individual provider · Type 1 NPI

Jennifer Marie Gardner

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1063260099 Active

Practice location

68 S 600 E
Salt Lake City, UT 84102-1007

Mailing address

344 E 100 S
Salt Lake City, UT 84111-1700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063260099

Jennifer Marie Gardner's National Provider Identifier is 1063260099, issued on May 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on May 6, 2024.