Organization
ADA M. GALLUP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA M. GALLUP PLPC (THERAPIST)
(573) 239-6642
Entity
Organization
Contact information
Practice address
202 AMANDA DR, ASHLAND, MO 65010-1201
(573) 239-6642
Mailing address
202 AMANDA DR, ASHLAND, MO 65010-1201
(573) 239-6642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016008293
MO
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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