person
Mr. James William Gardner, MA,LCPC,CADC
Mental Health Counselor in Belleville, Illinois
NPI 1669693735

James William Gardner is a Mental Health Counselor based in Belleville, IL and is specialized in Mental Health. James William Gardner practices in Belleville, IL and has the professional credentials of MA,LCPC,CADC. The NPI Number for James William Gardner is 1669693735 and holds a License No. 178004025 (Illinois).

The current practice location address for James William Gardner is 2120 Scheel St Apt D, Belleville, IL and can be reached out via phone at 217-454-0192. You can also correspond with James William Gardner through the mailing address at 2120 SCHEEL ST APT D, BELLEVILLE, IL - 62221-4182 (mailing address contact number: 217-454-0192).

Location: 2120 Scheel St Apt D, Belleville, IL, 62221-4182
person
Provider Profile Details
NPI Number
1669693735
Provider Name
James William Gardner
Credential
MA,LCPC,CADC
Provider Entity Type
Individual
Gender
Male
Address
2120 Scheel St Apt D, Belleville, IL, 62221-4182
Phone Number
217-454-0192
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2120 Scheel St Apt D
City
State
Zip
62221-4182
Phone Number
217-454-0192
Fax Number
person
Provider Business Mailing Address Details
Address
2120 Scheel St Apt D
City
State
Zip
62221-4182
Phone Number
217-454-0192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178004025 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178004025 (Illinois)
Definition
Definition to come...
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