Individual
MS. BEVERLY ANN GARDNER-NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-AP, LCDC, CCJP
Contact information
Practice address
9000 FREY RD, HOUSTON, TX 77034-3506
(713) 851-5302
(281) 464-8683
Mailing address
11717 BEAMER RD, APT. 245, HOUSTON, TX 77089-3100
(281) 481-1774
(281) 464-8683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S06143
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
5737
TX
104100000X
Social Worker
S06143
TX
251B00000X
Case Management Agency
Primary
06143
TX
Other
Enumeration date
01/11/2007
Last updated
09/09/2015
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