Individual
JOSEPH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TH.M LPC
Contact information
Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
Mailing address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004759
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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