Individual
MR. GREGORY F GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CSW LLPC
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 780-3336
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 780-3336
(517) 796-4561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6301003768
MI
104100000X
Social Worker
6801033871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054330
VALUE OPTIONS STATE OF MI
MI
01
—
8008970890
TRADITIONAL BCBS
MI
Enumeration date
05/24/2006
Last updated
07/08/2007
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