Individual
MRS. CHRISTI L GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31900
IL
1041C0700X
Clinical Social Worker
Primary
149018427
IL
Other
Enumeration date
11/01/2016
Last updated
01/30/2017
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