Provider Demographics
NPI:1437413259
Name:GALLAGHER, CATHERINE ANN (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4147
Mailing Address - Country:US
Mailing Address - Phone:920-458-5726
Mailing Address - Fax:920-458-5826
Practice Address - Street 1:503 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4147
Practice Address - Country:US
Practice Address - Phone:920-458-5726
Practice Address - Fax:920-458-5826
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor