Individual
JOSHUA PAUL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
112 COURT ST, STATESVILLE, NC 28677-5803
(828) 485-6012
Mailing address
121 CANDLESTICK DR, STATESVILLE, NC 28625-8396
(828) 485-6012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18640
NC
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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