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NPI Code Detail

MEDICARE: CHARLENE D GARNER

MEDICARE:   CHARLENE D GARNER
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor9483SC

General Provider Information

NPI Number : 1902997844
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE D GARNER
Provider Business Mailing Address
First Line : 4000 FABER PLACE DR STE 110
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8585
Country : US
Telephone Number : 843-501-1099
Fax Number : 843-405-2040
Provider Business Practice Location Address
First Line : 4000 FABER PLACE DR STE 110
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8585
Country : US
Telephone Number : 843-501-1099
Fax Number : 843-405-2040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 09/24/2024

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Directions to “ CHARLENE D GARNER ” Practice Location

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