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Individual

SHAWTIKA GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 SATURN DR, GODFREY, IL 62035-2370
(618) 789-7283
Mailing address
301 SATURN DR, GODFREY, IL 62035-2370
(618) 789-7283

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
IL

Other

Enumeration date
10/01/2014
Last updated
03/25/2026
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