Individual provider · Type 1 NPI
Justin Gardner, LPC
Professional Counselor · Austin, TX
NPI number
1841503554
Active
Practice location
3625 Manchaca Rd, #202
Austin, TX 78704-6631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63455 (TX) |
Professional Counselor: Definition to come...
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About NPI 1841503554
Justin Gardner, LPC's National Provider Identifier is 1841503554, issued on Jul 22, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 22, 2010.