Individual
CARMELLA C GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2950 HALCYON LANE, JACKSONVILLE, FL 32223
(904) 292-2407
(904) 292-2409
Mailing address
3681 CAROL ANN LN, JACKSONVILLE, FL 32223-7394
(902) 292-2497
(904) 292-2409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8370
FL
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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