Individual provider · Type 1 NPI
Stephanie Gillenwater
Professional Counselor · Marietta, GA
NPI number
1992476428
Active
Practice location
4343 Shallowford Rd # H4B741
Marietta, GA 30062-5023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1992476428
Stephanie Gillenwater's National Provider Identifier is 1992476428, issued on Sep 23, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Sep 23, 2021.