Individual
COLLEEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6843 BLUE GLADE DR, RICHMOND, TX 77406-5307
(214) 783-6394
Mailing address
6843 BLUE GLADE DR, RICHMOND, TX 77406-5307
(214) 783-6394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
65402
TX
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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