Individual
MR. BRIAN JOSEPH GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Mailing address
2489 EDGEMONT CIR, TUPELO, MS 38804-9721
(662) 841-2197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
501
MS
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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