Provider Information for 1669506846
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
HOLLY JANE GARDENIER MS, LPC, CSAC, ICS
Sex: Female
NPI: 1669506846
Last Updated: 2010-09-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669506846 | ||||||||||||||||
| Enumeration Date | 2007-03-16 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 221 E CLOVERNOOK LN FOX POINT, WI 53217-4217 United States Phone: 414-881-8097 | Fax:262-375-1071 | ||||||||||||||||
| Primary Practice Address | W62N248 WASHINGTON AVE SUITE 207 CEDARBURG, WI 53012-2768 United States Phone: 414-545-1950 | Fax:262-375-1071 | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|