Search › Idaho › 101YP2500X
Colleen Gardner, LCPC, NCC
NPI 1235343542 · on the registry since 2007
Practice
- Address
- 425 S. Whitley Dr., Suite #2
Fruitland, ID 83610 - Phone
- (208) 550-5063
- Fax
- (208) 550-5063
- Organisation at this address
- Maluhia Wellness, Inc.
Golden Mountain Wellness Llc
Idaho Orthotic Prosthetic Services, Inc
Evergreen Prosthetics And Orthotics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
- Licence states on file
- WY, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho