MR. ROY GILGALLON CADC, NCGCI
NPI 1366846156
Counselor - Addiction (Substance Use Disorder) in Scranton, PA
Active since October 22, 2014
About Mr. Roy Gilgallon Cadc, Ncgci NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROY GILGALLON CADC, NCGCI (NPI 1366846156) is an individual addiction (substance use disorder) provider in Scranton, Pennsylvania, licensed in Pennsylvania (357040) and active in the NPI registry since October 2014.
NPPES Registry Identity
NPI1366846156
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROY GILGALLONCredential: CADC, NCGCI
Location Address431 REAR WYOMING AVEScranton, PA 18504
Mailing Address431 Wyoming AveScranton, PA 18503 · (570) 880-7614 · Fax (570) 209-7465
Phone(570) 880-7614
Fax(570) 209-7465
Sole ProprietorNo
Enumeration DateOctober 22, 2014
✔ NPI 1366846156 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in PA · 357040
431 REAR WYOMING AVE, Scranton, PA 18504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366846156, enumerated as an "individual" on October 22, 2014.
The provider is located at 431 REAR WYOMING AVE SCRANTON, PA 18504 and the phone number is (570) 880-7614.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
