DOUGLAS R GALLUP

POCATELLO, ID
NPI1891845913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LCPC 3309)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
DOUGLAS R GALLUP LCPC
1169 CALL CREEK,STE B
POCATELLO, ID 83201
Phone number: 208-232-7780
Mailing Address
DOUGLAS R GALLUP LCPC
1169 CALL CREEK
POCATELLO, ID 83201
Phone number: 208-232-7780
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