Individual
SUSAN C GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 537-4208
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000207
WA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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