Individual
DR. CARTER CAMPBELL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4700 SPRING STREET, SUITE 204, LA MESA, CA 91941-0237
(619) 627-7701
(619) 644-5751
Mailing address
2646 SEATTLE DRIVE, EL CAJON, CA 92020-1774
(619) 627-7701
(619) 644-5751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PSY.10888
CA
103TC1900X
Counseling Psychologist
Primary
PSY10888
CA
Other
Enumeration date
03/16/2007
Last updated
03/24/2016
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