Individual provider · Type 1 NPI

Centrell Gardner

Counselor · Tupelo, MS

NPI number 1003624149 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 640-4595 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003624149

Centrell Gardner's National Provider Identifier is 1003624149, issued on Dec 20, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tupelo, MS. The record was last updated on Dec 20, 2024.