Individual
MRS. MICHELE ANN GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2704 N CARIBOU WAY, MERIDIAN, ID 83646-3475
(208) 918-0335
Mailing address
2704 N CARIBOU WAY, MERIDIAN, ID 83646-3475
(208) 918-0335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5184
ID
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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