| Doctor Name: | DR. JANE A. GARDNER |
| NPI Number: | 1124357348 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LPCC-S |
| License Number: | OH1501310 |
| Business Practice Address: | 7172 Columbia Rd Suite A Olmsted Falls, OH - 441381530 |
| Business Phone Number: | 4402352600 |
| Business Fax Number: | 4402352600 |
| Mailing Address: | 7172 Columbia Rd, Suite A OLMSTED FALLS |
| State: | OH |
| Postal Code: | 441381530 |
| Phone Number: | 4402352600 |
| Fax Number: | 4402352600 |
| NPI Enumeration Date: | 12/17/2009 |
| NPI Last Update Date: | 09/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | OH1501310 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |