Individual provider · Type 1 NPI

Consuelo Ann Gardner

Counselor · Raleigh, NC

NPI number 1639452667 Active

Practice location

107 Sunnybrook Rd
Raleigh, NC 27610-1827

Call (704) 939-1100 Map

Mailing address

284 Executive Park Drive, Suite 100
Concord, NC 28025-1894

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Clinical Social Worker 1041C0700XC011771 (NC)

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 1639452667

Consuelo Ann Gardner's National Provider Identifier is 1639452667, issued on Sep 26, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Raleigh, NC. The record was last updated on May 5, 2026.