Individual
KAITLYN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4210 N FRONTAGE RD, FAYETTEVILLE, AR 72703-5001
(479) 221-4504
Mailing address
3901 ROGERS AVE STE C, FORT SMITH, AR 72903-3077
(479) 651-8383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2001192
AR
Other
Enumeration date
01/20/2020
Last updated
09/25/2025
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