Individual
MARY JOHANNA GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1874 PENOBSCOT DR, OKEMOS, MI 48864
(989) 708-9387
Mailing address
4660 MARSH RD, OKEMOS, MI 48864-2143
(989) 708-9387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009662
MI
Other
Enumeration date
12/15/2006
Last updated
11/04/2019
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