Brandon Gardner is a Counselor in South Bend, Indiana. Brandon Gardner practices all healthcare services and medical treatments related to Counselor. The NPI Number for Brandon Gardner is 1275663122. The last update date is 2007-07-08.
Brandon Gardner's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5742831131. The mailing address for Brandon Gardner is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Gardner |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1275663122 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brandon Gardner by the Centers for Medicare & Medicaid Services?
The Brandon Gardner has been assigned the NPI (National Provider Identifier) 1275663122 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brandon Gardner?
The Brandon Gardner is physically situated at 403 E Madison St, in the city of South Bend, state of IN, with the postal code 466172322.
What is Brandon Gardner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brandon Gardner is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Brandon Gardner receive its 1275663122 assignment from the Centers for Medicare & Medicaid Services?
The Brandon Gardner was assigned its 1275663122 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information regarding Brandon Gardner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brandon Gardner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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