Individual provider · Type 1 NPI

Brian Gangloff, LMHC-P

Mental Health Counselor · Lockport, NY

NPI number 1457996530 Active

Practice location

300 Bewley Building
Lockport, NY 14094-2943

Mailing address

741 Delaware Ave
Buffalo, NY 14209-2201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1457996530

Brian Gangloff, LMHC-P's National Provider Identifier is 1457996530, issued on Nov 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lockport, NY. The record was last updated on Nov 12, 2019.