Individual
RACHAEL LEANNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044-9821
(952) 214-8959
(952) 214-8960
Mailing address
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044-9821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306133
MN
101YP2500X
Professional Counselor
Primary
4414
MN
Other
Enumeration date
12/22/2022
Last updated
06/05/2024
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