| Doctor Name: | MRS. ANGELA ROSS GALLIEN |
| NPI Number: | 1609071109 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2425 |
| Business Practice Address: | 2165 Highway 78 Suite 100 Dora, AL - 350624548 |
| Business Phone Number: | 2056484567 |
| Business Fax Number: | 2056484551 |
| Mailing Address: | 280 W Neely Rd, HAZEL GREEN |
| State: | AL |
| Postal Code: | 357507814 |
| Phone Number: | 2053657699 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 08/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |