KINGSLEY GALLUP

Counselor - Professional

Active Individual
NPI: 1093999112

Practice Address

1129 MAIN AVE
Durango, CO 81301

Phone: (970) 426-2130

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 4630 (CO)

Frequently Asked Questions

NPI 1093999112 is the National Provider Identifier for KINGSLEY GALLUP, a Counselor - Professional provider located in Durango, CO. This NPI was enumerated on December 26, 2007.
KINGSLEY GALLUP practices at 1129 MAIN AVE, Durango, CO 81301.

Quick Facts

NPI
1093999112
Type
Individual
Enumerated
Dec 26, 2007
Last Updated
Dec 26, 2007

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