Most Relevant Information
Provider Data
| NPI Number: | 1003420696 |
| Provider Name: | HEIDI MAE GALL LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | T-CTL0212831 |
Most Important Dates
| Enumeration Date: | 09/01/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
2504 CAMINO ENTRADA
SANTA FE
NM
875074851
Practice Location Phone/Fax
| Phone: | 5054715006 |
| Fax: |
Provider Mailing Location
729 CAMINO SANTA ANA
SANTA FE
NM
875053683
Provider Mailing Phone/Fax
| Phone: | 5053038825 |
| Fax: |