Individual provider · Type 1 NPI

Justin Rhea Gardner, LCDC

Addiction (Substance Use Disorder) Counselor · Dallas, TX

NPI number 1346068376 Active

Practice location

17101 Preston Rd Ste 110
Dallas, TX 75248-1374

Call (972) 250-1700 Map

Mailing address

1424 Elizabeth St
Anna, TX 75409-8233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17088 (TX)
Mental Health Counselor 101YM0800X17088 (TX)

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

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About NPI 1346068376

Justin Rhea Gardner, LCDC's National Provider Identifier is 1346068376, issued on Sep 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Jul 18, 2026.