Individual provider · Type 1 NPI

Kimberly Alexis Gardner

Mental Health Counselor · Jacksonville, FL

NPI number 1497286751 Active

Practice location

4595 Lexington Ave
Jacksonville, FL 32210-2058

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1497286751

Kimberly Alexis Gardner's National Provider Identifier is 1497286751, issued on Mar 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 27, 2017.