Individual
GEORGIA EVE GALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T, BA
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(917) 476-3296
Mailing address
153 CHERRY ST, KATONAH, NY 10536-1420
(845) 654-0777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39507
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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