Doctor Name: | MARLAYNA ELIZABETH GALLEGOS |
NPI Number: | 1689816837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | T-0142131 |
Business Practice Address: | 4940 Corrales Rd Suite 300 Corrales, NM - 870488673 |
Business Phone Number: | 8584143651 |
Business Fax Number: | |
Mailing Address: | 1210 Nothern Lights Way Ne, RIO RANCHO |
State: | NM |
Postal Code: | 87144 |
Phone Number: | 8584143651 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 11/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | T-0142131 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |