Individual
MRS. PAMELA DILLARD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.C.A. C.C.S.
Contact information
Practice address
90 ASHELAND AVE, ASHEVILLE, NC 28801-4023
(828) 398-2251
(828) 254-1524
Mailing address
90 ASHELAND AVE, ASHEVILLE, NC 28801-4023
(828) 398-2251
(828) 254-1524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145XH
BLUECROSS BLUESHIELD OF NORTH CAROLINA
NC
05
—
6110565
—
NC
Enumeration date
08/25/2006
Last updated
06/16/2011
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