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Individual
JODIE KATHLEEN GARDNER
Active
Individual
JODIE KATHLEEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCDC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77489
TX
101YP2500X
Professional Counselor
20423
CA
101YP2500X
Professional Counselor
Primary
77489
TX
164X00000X
Licensed Vocational Nurse
179319
TX
251J00000X
Nursing Care Agency
940974
TX
Other
Enumeration date
02/26/2018
Last updated
01/26/2026
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