Galler, Theresa Resotko

Galler, Theresa Resotko is an sole proprietor health care provider with primary practice located at 15324 W Campbell Ave , Goodyear AZ 85395-6370. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Galler, Theresa Resotko can be contacted via phone (602) 909-0042.

Contact Information

Primary practice address
15324 W Campbell Ave Goodyear AZ 85395-6370
Phone: (602) 909-0042
Fax: (623) 322-3403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-10406 Arizona

Profile Details

NPI number 1821143785
LBN Legal business name Galler, Theresa Resotko
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 7th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821143785 NPPES
Arizona Other 739451 AHCCCS NUMBER

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