Gardner Carlson
Gardner Carlson is a Licensed Psychiatric Technician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
2225 Challenger WaySanta Rosa, CA 95407-5441
Phone: (707) 565-4970
Fax: (707) 565-5183
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 31251 (CA) |
|---|
Record details
| NPI number | 1063977460 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 10, 2019 |
| Last updated in NPPES | February 10, 2019 |
| Mailing address | 2225 Challenger Way, Santa Rosa, CA 95407-5441 |
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