Individual provider · Type 1 NPI

Carole Sue Gardner, M.S.

Mental Health Counselor · Dallas, OR

NPI number 1194994640 Active

Practice location

182 SW Academy St, Suite 322
Dallas, OR 97338-1922

Fax (503) 831-1706

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194994640

Carole Sue Gardner, M.S.'s National Provider Identifier is 1194994640, issued on Feb 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Feb 28, 2008.