| Doctor Name: | LAUREN MARIE GALLISON |
| NPI Number: | 1003142779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPCA |
| License Number: | |
| Business Practice Address: | 110 W Walker Ave Asheboro, NC - 272036760 |
| Business Phone Number: | 3366337000 |
| Business Fax Number: | 3366253817 |
| Mailing Address: | 301 Addison Pointe Dr, Unit B GREENSBORO |
| State: | NC |
| Postal Code: | 274093409 |
| Phone Number: | 8436025759 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2009 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |