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Individual
MR. JAMES WILLIAM GARDNER
Active
Individual
MR. JAMES WILLIAM GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC,CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
178004025
IL
101YM0800X
Mental Health Counselor
Primary
178004025
IL
Other
Enumeration date
05/02/2007
Last updated
04/28/2017
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