Individual
MACY PAWELEK GARDIPEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1413 MARTHA RD, SOUTH CHARLESTON, WV 25303-2917
(210) 816-1524
Mailing address
PO BOX 11000, CHARLESTON, WV 25339-1000
(210) 816-1524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2811
WV
101YP2500X
Professional Counselor
78295
TX
Other
Enumeration date
01/28/2021
Last updated
07/12/2023
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