Individual provider · Type 1 NPI

Gwendolyn Hardaway

Mental Health Counselor · Meridian, MS

NPI number 1407128903 Active

Practice location

1415 College Dr
Meridian, MS 39307-5345

Mailing address

5366 Hwy 11SOUTH
Meridian, MS 39307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407128903

Gwendolyn Hardaway's National Provider Identifier is 1407128903, issued on Jan 31, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, MS. The record was last updated on Jan 31, 2012.