Gardner, Cleveland Eugene

Gardner, Cleveland Eugene is an individual health care provider with primary practice located at 3132 Jefferson St , San Diego CA 92110-4421. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Gardner, Cleveland Eugene can be contacted via phone (619) 683-3100.

Contact Information

Primary practice address
3132 Jefferson St San Diego CA 92110-4421
Phone: (619) 683-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-TWDEFS California

Profile Details

NPI number 1831633189
LBN Legal business name Gardner, Cleveland Eugene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Feb 2nd, 2026 - about 8 months 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.

Request for update

Popular Providers