Individual
MR. ROY GILGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, NCGCI
Contact information
Practice address
431 REAR WYOMING AVE, SCRANTON, PA 18504
(570) 880-7614
(570) 209-7465
Mailing address
431 WYOMING AVE, SCRANTON, PA 18503
(570) 880-7614
(570) 209-7465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
357040
PA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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