Provider Demographics
NPI:1609527027
Name:GALLIANO, MADISON (LMHC)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:GALLIANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18741
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-0741
Mailing Address - Country:US
Mailing Address - Phone:785-806-9708
Mailing Address - Fax:
Practice Address - Street 1:707 S SNOQUALMIE ST STE 5A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1742
Practice Address - Country:US
Practice Address - Phone:785-806-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health