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MARIAN BEAL GARDNER LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1417282328
Individual Registrant: MARIAN BEAL GARDNER LPC
Gender: F
Sole Proprietor
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: --
Tel: 251-377-8302 Fax: --
Contact information for business:
PO BOX 703 LOXLEY, AL 36551-0703 US
Tel: 251-377-8302 Fax: --
Tel: 251-377-8302 Fax: --
Registration Information:
NPI: 1417282328
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | AL | 1559 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
