person
Latasha Gardner, LPC
Professional Counselor in Meriden, Connecticut
NPI 1235584095

Latasha Gardner is a Professional Counselor based in Cheshire, CT and is specialized in Professional. Latasha Gardner practices in Meriden, CT and has the professional credentials of LPC. The NPI Number for Latasha Gardner is 1235584095 and holds a License No. 2820 (Connecticut).

The current practice location address for Latasha Gardner is 816 Broad St, Meriden, CT and can be reached out via phone at 203-630-2499 and via fax at 203-630-2499. You can also correspond with Latasha Gardner through the mailing address at 70 CRANBERRY LN, CHESHIRE, CT - 06410-3503 (mailing address contact number: 203-630-2488).

Location: 816 Broad St, Meriden, CT, 06410-3503
person
Provider Profile Details
NPI Number
1235584095
Provider Name
Latasha Gardner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
816 Broad St, Meriden, CT, 06410-3503
Phone Number
203-630-2499
Fax Number
203-630-2499
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008062953 05 CT
institution
Provider Business Practice Location Address Details
Address
816 Broad St
City
State
Zip
06450-4350
Phone Number
203-630-2499
Fax Number
203-630-2499
person
Provider Business Mailing Address Details
Address
816 Broad St
City
State
Zip
06450-4350
Phone Number
203-630-2499
Fax Number
203-630-2499
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2820 (Connecticut)
Definition
Definition to come...
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