| Mark Gardner, | |
|
1601 W 4th St, Coffeyville, KS 67337-3333 | |
| (620) 251-8180 | |
| Not Available |
| Full Name | Mark Gardner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1601 W 4th St, Coffeyville, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699824755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gardner, 1601 W 4th St, Coffeyville, KS 67337-3333 Ph: () - | Mark Gardner, 1601 W 4th St, Coffeyville, KS 67337-3333 Ph: (620) 251-8180 |
Becky Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Coffeyville, KS 67337 Phone: 620-330-9036 | |
Donna Botinelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 W 4th St, Coffeyville, KS 67337 Phone: 620-251-8180 Fax: 620-251-8180 | |
Elizabeth Seabrook Turnage Parker, ED.S., M.ED., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Coffeyville, KS 67337 Phone: 620-330-9036 |