Individual provider · Type 1 NPI

Gardner Raye Gentry, MS, NCC, LPC

Professional Counselor · Dalton, GA

NPI number 1811263213 Active

Practice location

900 Shugart Rd
Dalton, GA 30720-2467

Fax (706) 270-5102

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006756 (GA)

Professional Counselor: Definition to come...

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About NPI 1811263213

Gardner Raye Gentry, MS, NCC, LPC's National Provider Identifier is 1811263213, issued on Mar 29, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dalton, GA. The record was last updated on Mar 29, 2012.