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Colleen E Gardner, LCPC,NCC
Professional Counselor in Fruitland, Idaho
NPI 1235343542

Colleen E Gardner is a Professional Counselor based in Fruitland, ID and is specialized in Professional. Colleen E Gardner practices in Fruitland, ID and has the professional credentials of LCPC,NCC. The NPI Number for Colleen E Gardner is 1235343542 and holds a License No. LPC-1042 (Idaho).

The current practice location address for Colleen E Gardner is 425 S. Whitley Dr., Suite #2, Fruitland, ID and can be reached out via phone at 208-550-5063 and via fax at 208-550-5063.

Location: 425 S. Whitley Dr., Suite #2, Fruitland, ID, 83619-2681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235343542
Provider Name
Colleen E Gardner
Credential
LCPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
425 S. Whitley Dr., Suite #2, Fruitland, ID, 83619-2681
Phone Number
208-550-5063
Fax Number
208-550-5063
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108969201 05 WY
108969203 05 WY
108969200 05 WY
108969202 05 WY
institution
Provider Business Practice Location Address Details
Address
425 S. Whitley Dr., Suite #2
City
Fruitland
State
Idaho
Zip
83610
Phone Number
208-550-5063
Fax Number
208-550-5063
person
Provider Business Mailing Address Details
Address
425 S. Whitley Dr., Suite #2
City
Fruitland
State
Idaho
Zip
83610
Phone Number
208-550-5063
Fax Number
208-550-5063
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LCPC 5007 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC-1042 (Wyoming)
Definition
Definition to come...
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