Individual
JUSTIN RHEA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2340 E TRINITY MILLS RD STE 300, CARROLLTON, TX 75006-1947
(972) 418-2900
Mailing address
1424 ELIZABETH ST, ANNA, TX 75409-8233
(214) 663-1585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17088
TX
101YM0800X
Mental Health Counselor
17088
TX
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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