Individual
ALBERT DESHAWN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
811 POLO RD APT 625, COLUMBIA, SC 29223-4445
(803) 459-2919
Mailing address
811 POLO RD APT 625, COLUMBIA, SC 29223-4445
(803) 459-2919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COU.10874PCI
SC
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/13/2026
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