Individual
MS. GAYLA JOYCE O'FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MAC
Contact information
Practice address
32065 CASTLE CT STE 205, EVERGREEN, CO 80439-9586
(720) 837-4724
(720) 504-7787
Mailing address
32065 CASTLE CT STE 205, EVERGREEN, CO 80439-9586
(720) 837-4724
(720) 504-7787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3294
CO
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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