Individual
CAROLE SUE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
182 SW ACADEMY ST, SUITE 322, DALLAS, OR 97338-1922
(503) 269-2441
(503) 831-1706
Mailing address
182 SW ACADEMY ST, SUITE 322, DALLAS, OR 97338-1922
(503) 269-2441
(503) 831-1706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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