Individual provider · Type 1 NPI
Bruce Gardner
Mental Health Counselor · Lynwood, IL
NPI number
1356028633
Active
Practice location
467 Linda Ln
Lynwood, IL 60411-4653
Mailing address
14014 Park Ave
Dolton, IL 60419-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Lynwood
About NPI 1356028633
Bruce Gardner's National Provider Identifier is 1356028633, issued on Jun 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lynwood, IL. The record was last updated on Jun 29, 2023.