person
Douglas R Gallup, LCPC
Mental Health Counselor in Pocatello, Idaho
NPI 1891845913

Douglas R Gallup is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Douglas R Gallup practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Douglas R Gallup is 1891845913 and holds a License No. LCPC 3309 (Idaho).

The current practice location address for Douglas R Gallup is 1169 Call Creek,Ste B, Pocatello, ID and can be reached out via phone at 208-232-7780 and via fax at 208-232-7782.

Location: 1169 Call Creek,Ste B, Pocatello, ID, 83201
person
Provider Profile Details
NPI Number
1891845913
Provider Name
Douglas R Gallup
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1169 Call Creek,Ste B, Pocatello, ID, 83201
Phone Number
208-232-7780
Fax Number
208-232-7782
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1169 Call Creek,Ste B
City
State
Zip
83201
Phone Number
208-232-7780
Fax Number
208-232-7782
person
Provider Business Mailing Address Details
Address
1169 Call Creek,Ste B
City
State
Zip
83201
Phone Number
208-232-7780
Fax Number
208-232-7782
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC 3309 (Idaho)
Definition
Definition to come...
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