Individual
NICOLE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 395-1049
Mailing address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 395-1049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1945
NE
101YM0800X
Mental Health Counselor
Primary
12833
NE
Other
Enumeration date
01/25/2022
Last updated
07/09/2024
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