Individual
BEVERLY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BOULDER CRESCENT ST, SUITE 203F, COLORADO SPRINGS, CO 80903-3344
(719) 660-5281
(866) 703-1432
Mailing address
10 BOULDER CRESCENT ST, SUITE 203F, COLORADO SPRINGS, CO 80903-3344
(719) 660-5281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1820
CO
Other
Enumeration date
10/11/2006
Last updated
03/03/2012
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