Gardner, James William

Gardner, James William is an sole proprietor health care provider with primary practice located at 2120 Scheel St Apt D , Belleville IL 62221-4182. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gardner, James William can be contacted via phone (217) 454-0192.

Contact Information

Primary practice address
2120 Scheel St Apt D Belleville IL 62221-4182
Phone: (217) 454-0192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 178004025 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178004025 Illinois

Profile Details

NPI number 1669693735
LBN Legal business name Gardner, James William
Credentials MA, LCPC,CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Apr 28th, 2017 - about 8 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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