Individual
TERINA LOUISE JEAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 KENTON DR STE 3, CHARLESTON, WV 25311-1266
(304) 941-6256
Mailing address
300 KENTON DR STE 3, CHARLESTON, WV 25311-1266
(304) 941-6256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2792
WV
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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