Individual
CAROL GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 W 26TH ST, NEW YORK, NY 10010-1006
(212) 696-1550
(917) 464-3662
Mailing address
300 ASHLAND PL APT 17U, BROOKLYN, NY 11217-4082
(239) 565-0734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012704
NYS OFFICE OF PROFESSIONS
NY
05
—
02850677
—
NY
Enumeration date
05/31/2019
Last updated
06/08/2023
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