Individual provider · Type 1 NPI

Latasha Gardner, LPC

Professional Counselor · Meriden, CT

NPI number 1235584095 Active

Practice location

816 Broad St, Suite 23
Meriden, CT 06450-4350

Call (203) 630-2499 Map

Fax (203) 630-2499

Mailing address

70 Cranberry Ln
Cheshire, CT 06410-3503

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2820 (CT)

Professional Counselor: Definition to come...

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About NPI 1235584095

Latasha Gardner, LPC's National Provider Identifier is 1235584095, issued on Apr 29, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meriden, CT. The record was last updated on Apr 29, 2016.