Individual
STACY GALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1195 NW WALL ST STE B, BEND, OR 97703-1965
(541) 815-2972
Mailing address
2005 NW 6TH ST, BEND, OR 97703-1103
(541) 815-2972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3487
OR
Other
Enumeration date
01/12/2009
Last updated
06/03/2024
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