Gardner, Quencina

Gardner, Quencina is an individual health care provider with primary practice located at 20 Herrell Rd , Villa Rica GA 30180-5527. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gardner, Quencina can be contacted via phone (770) 812-3327.

Contact Information

Primary practice address
20 Herrell Rd Villa Rica GA 30180-5527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC007130 Georgia

Profile Details

NPI number 1487226742
LBN Legal business name Gardner, Quencina
Credentials MS, LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Jul 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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