Gardner, Clarence George

Gardner, Clarence George is an sole proprietor health care provider with primary practice located at 9524 Castlebrook Dr , Shreveport LA 71129-4810. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gardner, Clarence George can be contacted via phone (318) 688-6208.

Contact Information

Primary practice address
9524 Castlebrook Dr Shreveport LA 71129-4810
Phone: (318) 688-6208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 296 Louisiana

Profile Details

NPI number 1902956840
LBN Legal business name Gardner, Clarence George
Credentials TH.M., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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