Individual
AUNETTA B GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3921 PROSPERITY AVE, FAIRFAX, VA 22031-3329
(804) 475-8892
Mailing address
3921 PROSPERITY AVE, FAIRFAX, VA 22031-3329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010573
VA
101YP2500X
Professional Counselor
Primary
0701010573
VA
Other
Enumeration date
06/16/2021
Last updated
01/13/2026
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