Individual
QUENCINA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAPC
Contact information
Practice address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3327
Mailing address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007130
GA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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