MARK GARDNER
NPI 1699824755
Counselor - Addiction (Substance Use Disorder) in Coffeyville, KS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 09, 2007

1601 W 4TH ST, COFFEYVILLE, KS 67337(620) 251-8180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK GARDNER (NPI 1699824755) is an individual addiction (substance use disorder) provider in Coffeyville, Kansas and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1699824755

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMARK GARDNER

Location Address1601 W 4TH STCoffeyville, KS 67337-3333

Mailing Address1601 W 4th StCoffeyville, KS 67337-3333

Phone(620) 251-8180

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699824755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

1601 W 4TH ST, Coffeyville, KS 67337

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Licensed Practical Nurse