Gardner, Mark Steven
Gardner, Mark Steven is an individual health care provider with primary practice located at 1319 Vincent Pl , Mc Lean VA 22101-3615. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Mark Steven can be contacted via phone (703) 341-5995.Contact Information
Primary practice address
1319 Vincent Pl
Mc Lean VA 22101-3615
Phone: (703) 341-5995
Fax: (703) 341-5995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904005796 | Virginia |
Profile Details
| NPI number | 1073604112 |
|---|---|
| LBN Legal business name | Gardner, Mark Steven |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Mar 17th, 2016 - about 9 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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