Individual
LORI ELLEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC, NCC
Contact information
Practice address
201 YEAGER PKWY, PELHAM, AL 35124
(205) 649-0507
Mailing address
8039 ROCKHAMPTON CIR, HELENA, AL 35080-3379
(813) 924-2279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3027A
AL
Other
Enumeration date
02/27/2018
Last updated
06/21/2018
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