| Laura Hockenberry Gardner | |
|
3280 E Beltline Ct Ne Grand Rapids MI 49525-9494 | |
| (616) 446-0813 | |
| Not Available |
| Full Name | Laura Hockenberry Gardner |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3280 E Beltline Ct Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Laura Hockenberry Gardner (OWNER OPERATOR) |
| Authorized Official Contact | 6164460813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Hockenberry Gardner 3280 E Beltline Ct Ne Grand Rapids MI 49525-9494 Ph: () - | Laura Hockenberry Gardner 3280 E Beltline Ct Ne Grand Rapids MI 49525-9494 Ph: (616) 446-0813 |
| NPI Number | 1932699337 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932699337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6301014494 (Michigan) | Primary |
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