Individual
ALISA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 AIRWAY AVE, T2, COSTA MESA, CA 92626-4607
(949) 438-2342
Mailing address
4546 EL CAMINO REAL STE B7, LOS ALTOS, CA 94022-1069
(866) 362-4246
(650) 260-6030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW18615
CA
Other
Enumeration date
07/09/2016
Last updated
06/14/2024
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