Individual
MRS. CHERYL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3836
Mailing address
858 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3662
(404) 583-1532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC00665
GA
101YP2500X
Professional Counselor
Primary
LPC006665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135787A
—
GA
Enumeration date
06/01/2012
Last updated
02/15/2021
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