Individual
MR. LEE GARDNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4669 WOODLAND HILLS CT, KALAMAZOO, MI 49006-6215
(269) 360-1115
Mailing address
4669 WOODLAND HILLS CT, KALAMAZOO, MI 49006-6215
(269) 360-1115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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