Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNIE C GARDNER, LPC, LSATP
Active Sole ProprietorDR. CONNIE C GARDNER, LPC, LSATP is a Mental Health Clinic healthcare provider located in TAPPAHANNOCK, Virginia. NPI 1659531028 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · TAPPAHANNOCK, VA
Registration Details
- NPI Number
- 1659531028
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2008 (18.213953352936 yrs)
- Last Updated
- Jul 30, 2024
- Licenses
-
2665 (VA)0701004280 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
218 MAPLE VALLEY RDTAPPAHANNOCK, VA, 225605662Browse VA providers · Browse ZIP 22560
- Phone
- 4343903512
- Fax
- 8044427081
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.