Individual provider · Type 1 NPI
Colleen E. Gardner, LCPC, NCC
Professional Counselor · Fruitland, ID
NPI number
1235343542
Active
Practice location
425 S. Whitley Dr., Suite #2
Fruitland, ID 83610
Fax (208) 550-5063
Mailing address
425 S Whitley Dr Ste 2
Fruitland, ID 83619-2681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC-1042 (WY) |
| Professional Counselor Primary | 101YP2500X | LCPC 5007 (ID) |
Professional Counselor: Definition to come...
Other professional counselor providers in Fruitland
About NPI 1235343542
Colleen E. Gardner, LCPC, NCC's National Provider Identifier is 1235343542, issued on May 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fruitland, ID. The record was last updated on Dec 3, 2013.