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Stacey Annette Gallagher

Counselor, Mental Health in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1982179958
StatusActive
Last updated in NPPESOct 5, 2018

Details

NPI
1982179958
Entity type
Individual (NPI-1)
Name
Stacey Annette Gallagher
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2018
Last updated
Oct 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2545 N Eldorado Ave
Klamath Falls, OR 97601-6423

Phone 541-883-4958

Mailing address

2545 N Eldorado Ave
Klamath Falls, OR 97601-6423

Phone 541-883-4958

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