Individual
MRS. BARBARA ANNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC LICDC
Contact information
Practice address
246 NORTHLAND DR, SUITE 140, MEDINA, OH 44256-1533
(330) 723-9600
(330) 722-1446
Mailing address
246 NORTHLAND DR, SUITE 140, MEDINA, OH 44256-1533
(330) 723-9600
(330) 722-1446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
872391
OH
101YP2500X
Professional Counselor
E4104
OH
104100000X
Social Worker
S12751
OH
Other
Enumeration date
03/27/2006
Last updated
06/04/2008
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