Individual provider · Type 1 NPI

Holly Jane Gardenier, MS, LPC, CSAC, ICS

Professional Counselor · Cedarburg, WI

NPI number 1669506846 Active

Practice location

W62N248 Washington Ave, Suite 207
Cedarburg, WI 53012-2768

Fax (262) 375-1071

Mailing address

221 E Clovernook Ln
Fox Point, WI 53217-4217

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X14743133 (WI)
Professional Counselor Primary 101YP2500X4187-125 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X15306-132 (WI)

Professional Counselor: Definition to come...

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About NPI 1669506846

Holly Jane Gardenier, MS, LPC, CSAC, ICS's National Provider Identifier is 1669506846, issued on Mar 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cedarburg, WI. The record was last updated on Sep 27, 2010.