Individual
KIMBERLY CLAIRE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
500 S LAMBORN ST, HELENA, MT 59601-5417
(406) 465-7568
(406) 442-7949
Mailing address
1814 LIVINGSTON AVE, HELENA, MT 59601-3132
(406) 442-6613
(406) 442-7949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
527
MT
1041C0700X
Clinical Social Worker
Primary
504
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504
STATE OF MONTANA LICENSE
MT
01
—
527
STATE OF MONTANA LICENSE
MT
Enumeration date
07/31/2007
Last updated
09/28/2007
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