Individual
ANTHONY GAGLIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
161 HIGH ST SE STE 208A, SALEM, OR 97301-3660
(503) 581-7550
(503) 581-7550
Mailing address
161 HIGH ST SE STE 2048A, SALEM, OR 97301-3610
(503) 581-7550
(971) 208-6685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
L0280
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
L0280
OR
1041C0700X
Clinical Social Worker
Primary
L0280
OR
Other
Enumeration date
07/26/2006
Last updated
11/25/2014
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