Individual
MS. AMY K. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
507 COURTHOUSE DRIVE, WILKESBORO, NC 28697
(336) 667-3333
(336) 667-8749
Mailing address
507 COURTHOUSE DR, WILKESBORO, NC 28697-2926
(336) 667-3333
(336) 667-8749
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1190
LMFT
NC
01
—
5018A
MFTA
NC
Enumeration date
03/14/2007
Last updated
06/03/2008
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