Provider Demographics
NPI:1598379638
Name:GARDNER, LAUREN (LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GARDNER
Suffix:
Gender:F
Credentials:LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 LEETSDALE DR APT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8131
Mailing Address - Country:US
Mailing Address - Phone:720-785-3277
Mailing Address - Fax:
Practice Address - Street 1:5100 LEETSDALE DR APT 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8131
Practice Address - Country:US
Practice Address - Phone:720-437-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1372510101YM0800X
CO0017275101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health