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MARIAN BEAL GARDNER LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417282328

Individual Registrant:
 MARIAN BEAL GARDNER LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
21909 COUNTY ROAD 68 NORTH  ROBERTSDALE, AL 36567-3531 US
Tel: 251-377-8302  Fax: --

Contact information for business:
PO BOX 703  LOXLEY, AL 36551-0703 US
Tel: 251-377-8302  Fax: --

Registration Information:
NPI: 1417282328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
AL1559

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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