Gallagher, Colleen Mary

Gallagher, Colleen Mary is an individual health care provider with primary practice located at 2001 Hudson , Kalamazoo MI 49008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gallagher, Colleen Mary can be contacted via phone (269) 343-9823.

Contact Information

Primary practice address
2001 Hudson Kalamazoo MI 49008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801019349 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101005619 Michigan

Profile Details

NPI number 1316921984
LBN Legal business name Gallagher, Colleen Mary
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316921984 NPPES
Other 0890926 BLUE CROSS PIN #

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