Provider Demographics
NPI:1548421944
Name:GARMON, SANDRA H (LPC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:H
Last Name:GARMON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 WYNFORD CT
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7425
Mailing Address - Country:US
Mailing Address - Phone:704-455-1415
Mailing Address - Fax:
Practice Address - Street 1:236 LE PHILLIP CT NE STE D
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-1917
Practice Address - Country:US
Practice Address - Phone:704-786-4503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional