Jerry Gardner
Counselor • St George, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerry Gardner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jerry Gardner was a registered Counselor practicing in St George, UT. Throughout an active medical career spanning 3 years, Jerry Gardner provided care at the practice location at 1492 S SILICON WAY until profile deactivation on 2018-07-25.
Practice Location & Contact Primary Location
1492 S Silicon Way
#a
St George, UT 847707155
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in St George, UT
Practicing in St George, UT (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
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Career & Practice History Timeline
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Record deactivated on July 25, 2018
NPI status registered as active in NPPES database
Registered at 1492 S SILICON WAY, #A, ST GEORGE, UT 847707155 (Tel: 4352758911)
Registered at 150 N 3700 W SPC 122, HURRICANE, UT 847373345
Recorded as JERRY GARDNER
Counselor
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
150 N 3700 W Spc 122
Hurricane, UT 847373345
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