Individual provider · Type 1 NPI

Tracy O. Gardner, LPC, NCC, NCSC, LSW

Professional Counselor · Corinth, MS

NPI number 1831751890 Active

Practice location

401 E Waldron St Ste B
Corinth, MS 38834-4707

Call (662) 396-1167 Map

Mailing address

PO Box 1620
Corinth, MS 38835-1620

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1283 (MS)

Professional Counselor: Definition to come...

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About NPI 1831751890

Tracy O. Gardner, LPC, NCC, NCSC, LSW's National Provider Identifier is 1831751890, issued on Jun 30, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Corinth, MS. The record was last updated on Dec 4, 2019.