Provider Demographics
NPI:1942526306
Name:GARNER, BRIAN D (LPC)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:D
Last Name:GARNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4731 S COCHISE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6975
Mailing Address - Country:US
Mailing Address - Phone:816-373-6433
Mailing Address - Fax:816-478-9008
Practice Address - Street 1:4731 S COCHISE DR STE 206
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6975
Practice Address - Country:US
Practice Address - Phone:816-373-6433
Practice Address - Fax:816-478-9008
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional