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Individual

MR. MARK JOSEPH GHERARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. LPC, LMFT

Contact information

Practice address
4103 S TEXAS AVE STE 203, BRYAN, TX 77802-4043
(979) 361-7907
(979) 846-6557
Mailing address
4103 S TEXAS AVE STE 203, BRYAN, TX 77802-4043
(979) 361-7907
(979) 846-6557

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
69780
TX
106H00000X
Marriage & Family Therapist
Primary
201939
TX

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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