Individual
LATESHA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
422 16TH ST, CALERA, AL 35040-6334
(205) 410-9775
Mailing address
422 16TH ST, CALERA, AL 35040-6334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3202
AL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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