Individual
ROBIN SHAWN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDC, CPC
Contact information
Practice address
27 CHESTNUT ST STE 1B, RIDGEWOOD, NJ 07450-3845
(201) 612-6700
Mailing address
50 E RIDGEWOOD AVE # 245, RIDGEWOOD, NJ 07450-3880
(201) 612-6700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CERTIFICATION
NJ
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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