Individual
KATHERINE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(402) 595-1565
Mailing address
5732 N 81ST ST, OMAHA, NE 68134-2064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10401
NE
1041C0700X
Clinical Social Worker
6957
NE
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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