Individual provider · Type 1 NPI

Beau Gardner

Mental Health Counselor · Lexington, KY

NPI number 1376127902 Active

Practice location

1351 Newtown Pike Bldg 1
Lexington, KY 40511-1277

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376127902

Beau Gardner's National Provider Identifier is 1376127902, issued on May 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, KY. The record was last updated on Feb 4, 2025.