Individual
MR. OLIVER MATTHEW GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
903C NORTH 5TH STREET, ESTANCIA, NM 87016-0000
(505) 806-8898
Mailing address
5880 SANDOVAL DR NE, RIO RANCHO, NM 87144-5152
(505) 220-6528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2023-0428
NM
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/05/2022
Last updated
05/08/2024
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