Individual provider · Type 1 NPI

Monique D. Galloway, CIDDT

Counselor · Hattiesburg, MS

NPI number 1346472099 Active

Practice location

102 Continental Dr
Hattiesburg, MS 39402-9301

Call (601) 705-1901 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X0483 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1346472099

Monique D. Galloway, CIDDT's National Provider Identifier is 1346472099, issued on Aug 13, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 13, 2009.