Individual provider · Type 1 NPI

Crystal Gallaher

Mental Health Counselor · Portland, OR

NPI number 1780455311 Active

Practice location

209 SW 4th Ave Ste 520
Portland, OR 97204-1825

Call (503) 988-5464 Map

Fax (503) 988-4386

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19-05-04 (OR)
Mental Health Counselor Primary 101YM0800X22-QMHPC-001170 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1780455311

Crystal Gallaher's National Provider Identifier is 1780455311, issued on Jan 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2024.