Individual provider · Type 1 NPI
Amanda Michelle Gardner, LPC
Professional Counselor · Springfield, IL
NPI number
1184490591
Active
Practice location
520 N 4th St
Springfield, IL 62702-5238
Mailing address
3 Linden Ln
Springfield, IL 62712-8986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.019313 (IL) |
Professional Counselor: Definition to come...
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About NPI 1184490591
Amanda Michelle Gardner, LPC's National Provider Identifier is 1184490591, issued on Nov 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Nov 27, 2023.