Individual provider · Type 1 NPI

Jason Andrew Gardner, CADC R

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1871315036 Active

Practice location

23 NW Greenwood Ave
Bend, OR 97703-2078

Mailing address

20640 Hummingbird Ln
Bend, OR 97702-2628

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871315036

Jason Andrew Gardner, CADC R's National Provider Identifier is 1871315036, issued on Oct 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Oct 29, 2024.