Individual provider · Type 1 NPI
Tiesha Denice Gardner, LPC
Professional Counselor · Fort Worth, TX
NPI number
1912772575
Active
Practice location
8637 Fawn Hill Ct
Fort Worth, TX 76134-5366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 85009 (TX) |
Professional Counselor: Definition to come...
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About NPI 1912772575
Tiesha Denice Gardner, LPC's National Provider Identifier is 1912772575, issued on Nov 22, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 22, 2023.