Individual
MISS KATHY GARDNER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4146 FAIRVIEW PL NE, MOSES LAKE, WA 98837-4026
(509) 760-7359
Mailing address
4146 FAIRVIEW PL NE, MOSES LAKE, WA 98837-4026
(509) 760-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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