Individual
DEBRA LYNNE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1111 S ORCHARD ST STE 290, BOISE, ID 83705-1991
(208) 343-2770
Mailing address
1111 S ORCHARD ST STE 290, BOISE, ID 83705-1991
(208) 343-2770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 4582
ID
101YM0800X
Mental Health Counselor
Primary
LPC4582
ID
101YP2500X
Professional Counselor
LPC4582
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265565477
—
ID
Enumeration date
07/30/2010
Last updated
09/26/2013
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