Doctor Name: | AMY GALLAHER |
NPI Number: | 1013318435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHCA |
License Number: | MC 60484737 |
Business Practice Address: | 35322 Se Swenson St Snoqualmie, WA - 980655009 |
Business Phone Number: | 9702749611 |
Business Fax Number: | |
Mailing Address: | 35322 Se Swenson St, SNOQUALMIE |
State: | WA |
Postal Code: | 980655009 |
Phone Number: | 9702749611 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2014 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC 60484737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |