Individual provider · Type 1 NPI
Mark Edward Gardner, LPC
Professional Counselor · Erie, PA
NPI number
1770132623
Active
Practice location
101 East Avenue
Erie, PA 16507
Mailing address
PO Box 1016
Waterford, PA 16441-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC011401 (PA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1770132623
Mark Edward Gardner, LPC's National Provider Identifier is 1770132623, issued on Sep 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Erie, PA. The record was last updated on Sep 4, 2019.