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Individual

MRS. KAREN YOLANDA CLEMMONS GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-3694
(336) 718-9892
Mailing address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-3694
(336) 718-9892

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP194
101YP2500X
Professional Counselor
Primary
LC2228
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0034
CAREFIRST BCBS-FEDERAL
MD
01
259147-000
MAGELLAN-ESPS GROUP#
MD
01
517251
UHC-UBH-ESPS GROUP
MD
01
522156095
NCPPO
MD
05
609550001
MD
05
609550002
MD
05
609550004
MD
01
892908-01
CAREFIRST BCBS PIN
MD
05
986965400
MD
01
LM49EA
CAREFIRST LOCAL-ESPS GROU
MD
01
R968
CAREFIRST FEDERAL-ESPS GR
MD
Enumeration date
05/26/2006
Last updated
06/22/2011
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