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Individual
VIKKI R GARDNER
Active
Individual
VIKKI R GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E3755
OH
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401007972
STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
07/03/2006
Last updated
01/14/2024
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