Individual provider · Type 1 NPI
Brian Robert Gallas, B.A., A.A.
Addiction (Substance Use Disorder) Counselor · Waukegan, IL
NPI number
1215317490
Active
Practice location
3010 Grand Ave
Waukegan, IL 60085-2321
Fax (847) 984-5676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215317490
Brian Robert Gallas, B.A., A.A.'s National Provider Identifier is 1215317490, issued on Jun 3, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukegan, IL. The record was last updated on Jun 3, 2015.