Individual
DANIEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSUDC
Contact information
Practice address
714 S STATE ST, OREM, UT 84058-6366
(801) 426-6565
(801) 426-6464
Mailing address
714 S STATE ST, OREM, UT 84058-6366
(801) 426-6565
(801) 426-6464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/24/2021
Last updated
05/24/2024
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