Doctor Name: | MS. VICTORIA FRANCES GALLOP |
NPI Number: | 1013315910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 0130681 |
Business Practice Address: | 315 S Hudson St Suite 6 Silver City, NM - 880616184 |
Business Phone Number: | 5753884412 |
Business Fax Number: | 5755341170 |
Mailing Address: | 100 W Griggs Ave, LAS CRUCES |
State: | NM |
Postal Code: | 880011234 |
Phone Number: | 5756472800 |
Fax Number: | 5756472898 |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0130681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |