MRS. Tracy O. Gardner, LPC, NCC, NCSC, LSW,
NPI #1831751890 in Corinth, Mississippi
Provider Information
- NPI Number
- 1831751890
- Entity Type
- Individual
- Name
- MRS. Tracy O. Gardner, LPC, NCC, NCSC, LSW,
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, NCC, NCSC, LSW,
- Enumeration Date
- Jun 30, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 401 E WALDRON ST STE B
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-4707
- Phone
- (662) 396-1167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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