Individual
MS. CAROLYN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3925 I-35 SOUTH, WACO, TX 76706-3775
(254) 714-0189
Mailing address
3925 I-35 SOUTH, WACO, TX 76706-3775
(254) 714-0189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19995
TX
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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