Individual
MR. CHARLES JUSTIN GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
300 OAK ST, SUITE 203, ST SIMONS ISLAND, GA 31522-4738
(912) 268-4750
Mailing address
527 POSTELL DR, ST SIMONS ISLAND, GA 31522-1804
(912) 602-4161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007117
GA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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