Organization
GLASS CEILING CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WALSH GANNON PHD, CADC (PRESIDENT)
(808) 559-9600
Entity
Organization
Contact information
Practice address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
(916) 672-6289
Mailing address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
(916) 672-6289
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1340
KY
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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