Individual
MS. THERESA RESOTKO GALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15324 W CAMPBELL AVE, GOODYEAR, AZ 85395-6370
(602) 909-0042
(623) 322-3403
Mailing address
15324 W CAMPBELL AVE, GOODYEAR, AZ 85395-6370
(602) 909-0042
(623) 322-3403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
739451
AHCCCS NUMBER
AZ
Enumeration date
01/23/2007
Last updated
07/07/2009
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