Individual
MS. HALLIE E GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8508 PARK RD, CHARLOTTE, NC 28210-5803
(980) 292-4559
Mailing address
6729 CONSTITUTION LN, CHARLOTTE, NC 28210-4217
(732) 890-6140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12373
NC
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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