| Doctor Name: | ANN GARDNER |
| NPI Number: | 1134248958 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MHC00131 |
| Business Practice Address: | 621 Dexter St Central Falls, RI - 028632603 |
| Business Phone Number: | 4017219200 |
| Business Fax Number: | 4017290010 |
| Mailing Address: | 621 Dexter St, CENTRAL FALLS |
| State: | RI |
| Postal Code: | 028632603 |
| Phone Number: | 4017219200 |
| Fax Number: | 4017290010 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHC00131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |