Individual
MR. ANTHONY J.L GALYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII, LSW
Contact information
Practice address
303 OFFNERE ST, PORTSMOUTH, OH 45662
(740) 876-9369
Mailing address
303 OFFNERE ST, PORTSMOUTH, OH 45662-4655
(740) 876-9369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161592
OH
1041C0700X
Clinical Social Worker
Primary
S.1701251
OH
Other
Enumeration date
05/02/2018
Last updated
07/02/2018
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