Doctor Name: | DANIEL J GALLEGOS |
NPI Number: | 1013258920 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPC |
License Number: | 1159 |
Business Practice Address: | 3395 Micro Rd Casper, WY - 826019758 |
Business Phone Number: | 3072629961 |
Business Fax Number: | |
Mailing Address: | 3395 Micro Rd, CASPER |
State: | WY |
Postal Code: | 826019758 |
Phone Number: | 3072629961 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1159 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |