person
Dr. Carol Irene Gardner, LPC
Professional Counselor in Amarillo, Texas
NPI 1841279452

Carol Irene Gardner is a Professional Counselor based in Amarillo, TX and is specialized in Professional. Carol Irene Gardner practices in Amarillo, TX and has the professional credentials of LPC. The NPI Number for Carol Irene Gardner is 1841279452 and holds a License No. 13496 (Texas).

The current practice location address for Carol Irene Gardner is 1711 S Polk St, Amarillo, TX and can be reached out via phone at 806-354-0727 and via fax at 806-354-0011.

Location: 1711 S Polk St, Amarillo, TX, 79102-3152
person
Provider Profile Details
NPI Number
1841279452
Provider Name
Carol Irene Gardner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1711 S Polk St, Amarillo, TX, 79102-3152
Phone Number
806-354-0727
Fax Number
806-354-0011
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0956039-03 01 TX TPMHMR MEDICAID LEGACY
0956039-02 05 TX
3230LC 01 TX BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1711 S Polk St
City
State
Zip
79102-3152
Phone Number
806-354-0727
Fax Number
806-354-0011
person
Provider Business Mailing Address Details
Address
1711 S Polk St
City
State
Zip
79102-3152
Phone Number
806-354-0727
Fax Number
806-354-0011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
13496 (Texas)
Definition
Definition to come...
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