| NPI | 1942624630 |
|---|---|
| Other Name | DEBRA JO GALLEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013950) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ACD.0000613) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2019-12-23 |