Individual
RONALD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
752 N CHERRY ST, LADOGA, IN 47954-9350
(317) 363-8723
Mailing address
752 N CHERRY ST, LADOGA, IN 47954-9350
(317) 363-8723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003681A
IN
Other
Enumeration date
05/01/2016
Last updated
12/16/2019
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