Quenby Lel Gallahan, LMFT
Marriage & Family Therapist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1043670128
StatusActive
Last updated in NPPESMar 2, 2016
Details
- NPI
- 1043670128
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Quenby Lel Gallahan
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2016
- Last updated
- Mar 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 52980 | CA | Yes |
Practice location
1521 Fair Oaks CtSanta Rosa, CA 95404-4025
Phone 707-526-5629
Mailing address
Po Box 4605Santa Rosa, CA 95402-4605
Phone 707-526-5629
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