| Gallegos Counseling, Llc | |
|
807 4th Ave Grinnell IA 50112-2042 | |
| (641) 781-0770 | |
| (641) 316-8178 |
| Full Name | Gallegos Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 807 4th Ave, Grinnell, Iowa |
| Authorized Official Name and Position | Beth Gallegos (OWNER) |
| Authorized Official Contact | 6417810770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallegos Counseling, Llc 1404 Broad St Grinnell IA 50112-1421 Ph: (641) 781-0770 | Gallegos Counseling, Llc 807 4th Ave Grinnell IA 50112-2042 Ph: (641) 781-0770 |
| NPI Number | 1194202556 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194202556 | NPI | - | NPPES |
| 1740240456 | Other | TYPE 1 NPI | |
| 18431 | Other | CA | LCSW LICENSE |
| 008368 | Other | IA | LISW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008368 (Iowa) | Primary |
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