Individual
JASON MATTHEW GALLAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AZ
Other
Enumeration date
01/16/2025
Last updated
01/17/2025
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