Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Cleveland Eugene Gardner III

Individual provider Counselor · NPI 1831633189

Mr. Cleveland Eugene Gardner III is a Counselor in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4266 37th St, San Diego, CA 92105-1001 — (858) 285-9824

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-TWDEFS (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1831633189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2016
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

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