Individual
MR. SHAWN PATRICK GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC, CADAC
Contact information
Practice address
1440 E SOUTHERN AVE, TEMPE, AZ 85282-5612
(602) 932-5796
Mailing address
1440 E SOUTHERN AVE, TEMPE, AZ 85282-5612
(602) 932-5796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11518
AZ
Other
Enumeration date
07/07/2022
Last updated
08/05/2022
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