Individual
MS. ANN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1102 S MAIN ST, OFFICE 3B, FORT BRAGG, CA 95437-5305
(707) 964-1880
Mailing address
1102 S MAIN ST, OFFICE 3B, FORT BRAGG, CA 95437-5305
(707) 964-1880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT15951
CA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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