Douglas R Gallup, LCPC

NPI #1891845913 in Pocatello, Idaho

Provider Information

NPI Number
1891845913
Entity Type
Individual
Name
Douglas R Gallup, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1169 CALL CREEK,STE B
State
Idaho
ZIP Code
83201
Phone
(208) 232-7780

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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