| Colleen E Gardner, LCPC, NCC | |
|
425 S. Whitley Dr., Suite #2, Fruitland, ID 83610 | |
| (208) 550-5063 | |
| (208) 550-5063 |
| Full Name | Colleen E Gardner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 425 S. Whitley Dr., Suite #2, Fruitland, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235343542 | NPI | - | NPPES |
| 108969201 | Medicaid | WY | |
| 108969203 | Medicaid | WY | |
| 108969200 | Medicaid | WY | |
| 108969202 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-1042 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | LCPC 5007 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen E Gardner, LCPC, NCC 425 S Whitley Dr Ste 2, Fruitland, ID 83619-2681 Ph: (208) 550-5063 | Colleen E Gardner, LCPC, NCC 425 S. Whitley Dr., Suite #2, Fruitland, ID 83610 Ph: (208) 550-5063 |
Nan Moss, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 N Whitley Dr Ste 11, Fruitland, ID 83619 Phone: 541-212-3151 Fax: 208-452-1232 | |
Ms. Donna Viola Batt, M.ED., LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7763 Elmore Rd, Fruitland, ID 83619 Phone: 208-452-5240 Fax: 208-452-5240 | |
Mr. Lyle Spencer Bourcy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Nw 16th St, Suite C, Fruitland, ID 83619 Phone: 208-250-0374 Fax: 208-452-2164 | |
Katherine Hollie Fisher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2035 Zach Blvd, Fruitland, ID 83619 Phone: 208-286-5950 | |
Alia Bonnie Fulleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S Iowa Ave, Fruitland, ID 83619 Phone: 541-249-5111 | |
Mrs. Nela Joy Hollis, MS SE Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Idaho Ave, Fruitland, ID 83619 Phone: 208-452-7190 Fax: 208-452-5819 |