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Individual

GARDENIA E BEARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LAPC

Contact information

Practice address
211 PRIME PT, BLDG. 2, SUITE D, PEACHTREE CITY, GA 30269-3334
(678) 788-6025
(888) 269-9127
Mailing address
211 PRIME PT, BLDG. 2, SUITE D, PEACHTREE CITY, GA 30269-3334
(678) 788-6025
(888) 269-9127

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC004425
GA
101YM0800X
Mental Health Counselor
APC004425
GA

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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