Individual provider · Type 1 NPI

Keeley Gardner, CSS

Counselor · Purvis, MS

NPI number 1558083188 Active

Practice location

805 Highway 589
Purvis, MS 39475-4194

Call (601) 794-6543 Map

Fax (601) 794-2455

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3684 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558083188

Keeley Gardner, CSS's National Provider Identifier is 1558083188, issued on Sep 12, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Purvis, MS. The record was last updated on Sep 12, 2022.