Individual
KELLEY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
720 ESKENAZI AVENUE, INDIANAPOLIS, IN 46202
(317) 880-0000
Mailing address
6846 POWDER DR, INDIANAPOLIS, IN 46259-7757
(317) 727-8136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001701A
IN
Other
Enumeration date
05/25/2010
Last updated
03/05/2019
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