Gardner, Vikki R

Gardner, Vikki R is an sole proprietor health care provider with primary practice located at 3950 Sunforest Ct Fl 2 , Toledo OH 43623-4485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gardner, Vikki R can be contacted via phone (419) 450-2170.

Contact Information

Primary practice address
3950 Sunforest Ct Fl 2 Toledo OH 43623-4485
Phone: (419) 450-2170
Fax: (419) 406-4590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E3755 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1104855774
LBN Legal business name Gardner, Vikki R
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jan 14th, 2024 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104855774 NPPES
Michigan Other 6401007972 STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

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