Individual
LESLEY M GALLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
6071 E WOODMEN RD STE 145, COLORADO SPRINGS, CO 80923-2609
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008218
CO
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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