Individual provider · Type 1 NPI

Phyllis Gardner, M.A.

Professional Counselor · Pueblo, CO

NPI number 1366458598 Active

Practice location

924 Indiana Ave
Pueblo, CO 81004-3747

Fax (719) 561-8752

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X35889 (CO)
Professional Counselor Primary 101YP2500X1497 (CO)

Professional Counselor: Definition to come...

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About NPI 1366458598

Phyllis Gardner, M.A.'s National Provider Identifier is 1366458598, issued on Jul 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Sep 11, 2025.