Provider Demographics
NPI:1821849084
Name:GALLAGHER, KAREN ANN (MS, PMCN, CBT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MS, PMCN, CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-8118
Mailing Address - Country:US
Mailing Address - Phone:410-935-0129
Mailing Address - Fax:
Practice Address - Street 1:2225 DEBORAH DR
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-8118
Practice Address - Country:US
Practice Address - Phone:410-935-0129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor