MEDICARE: MAGDALENE MARIE GARNER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2026023977	MO

General Provider Information

NPI Number	:	1538092143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENE MARIE GARNER LPC

Provider Business Mailing Address
First Line	:	164 EMERALD ISLE
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-6500
Country	:	US
Telephone Number	:	573-579-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 COPPER DR
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-1730
Country	:	US
Telephone Number	:	573-334-2889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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