Individual provider · Type 1 NPI
James William Gardner, MA, LCPC, CADC
Mental Health Counselor · Belleville, IL
NPI number
1669693735
Active
Practice location
2120 Scheel St Apt D
Belleville, IL 62221-4182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 178004025 (IL) |
| Mental Health Counselor Primary | 101YM0800X | 178004025 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1669693735
James William Gardner, MA, LCPC, CADC's National Provider Identifier is 1669693735, issued on May 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Apr 28, 2017.