Donitta L Gardiner
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · McConnell Afb, KS
NPI 1154345783 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154345783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3506 - Phone
- (316) 759-5864
- Fax
- (316) 759-5038
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3506
Mailing address
57950 Leavenworth St
McConnell Afb, KS 67221-3506
Phone (316) 759-5864
Other providers in McConnell Afb, KS
- Anna Catherine Field
- Raul O Franco
- Daniel David Fridman
- Mark Friskel
- Justine R Froude
- Hilary Gremminger
- Ilonda Jonelle Griffee
- Rachel M Gurley
- Joshua A Hartman
- Victoria Hatchett
All providers in McConnell Afb, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.