Individual
JESSICA GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
21800 HAGGERTY RD STE 207, NORTHVILLE, MI 48167-8981
(248) 939-4021
Mailing address
19376 SILVER SPRING DR APT 203, NORTHVILLE, MI 48167-2569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361008121
MI
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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