Individual
ANGELA GILGALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRS
Contact information
Practice address
431 REAR WYOMING AVE, SCRANTON, PA 18503
(570) 880-7614
Mailing address
431 REAR WYOMING AVE, SCRANTON, PA 18503
(570) 880-7614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821062985
—
PA
Enumeration date
05/30/2019
Last updated
05/30/2019
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