Provider Demographics
NPI:1548667595
Name:GALLAGHER, MARY ANN (BS, CPSS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:GALLAGHER
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Gender:F
Credentials:BS, CPSS
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Mailing Address - Street 1:5060 DORCHESTER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-5603
Mailing Address - Country:US
Mailing Address - Phone:843-974-4686
Mailing Address - Fax:843-974-4683
Practice Address - Street 1:5060 DORCHESTER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-5603
Practice Address - Country:US
Practice Address - Phone:843-974-4686
Practice Address - Fax:843-974-4683
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health