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Individual

MICHELLE GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LISAC, CT

Contact information

Practice address
8700 E VISTA BONITA DR, SUITE 228, SCOTTSDALE, AZ 85255-4251
(623) 974-3333
(623) 974-3390
Mailing address
13460 N 94TH DR, SUITE K-3, PEORIA, AZ 85381-4835
(623) 974-3333
(623) 974-3390

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-15937
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10174
AZ

Other

Enumeration date
10/27/2016
Last updated
10/27/2016
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