Individual
MICHAEL GALLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
Mailing address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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