Individual provider · Type 1 NPI
Jason Gardner
Mental Health Counselor · Altoona, PA
NPI number
1629106372
Active
Practice location
400 Lakemont Boulevard, Lower Level
Altoona, PA 16602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629106372
Jason Gardner's National Provider Identifier is 1629106372, issued on Mar 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Altoona, PA. The record was last updated on Jul 8, 2007.