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General NPI Number Information
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NPI Number | 1831272301
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Entity Type | Individual
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Provider Name | YUN GARDNER PHD, CPC, CHT, MAC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 5060 SHOREHAM PL STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92122-5976
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Country | US
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Telephone | 877-840-6956
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 DOUBLE R BLVD STE 300
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City | RENO
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State | NV
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Zip | 89521-4827
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Country | US
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Telephone | 775-846-8304
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Fax | 775-227-8310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1024
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0014
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16566
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License Number State | CA
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