Individual
ELIZABETH GARDNER
Active
Individual
ELIZABETH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012619
CO
106H00000X
Marriage & Family Therapist
P85249
NY
Other
Enumeration date
06/27/2014
Last updated
05/04/2016
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