Most Relevant Information
Provider Data
| NPI Number: | 1003463894 |
| Provider Name: | JACQUELINE GALLANT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 08/26/2019 |
Provider Practice Location
1108 LAPEER RD
FLINT
MI
485032704
Practice Location Phone/Fax
| Phone: | 8102327919 |
| Fax: |
Provider Mailing Location
1108 LAPEER RD
FLINT
MI
485032704
Provider Mailing Phone/Fax
| Phone: | 8102327919 |
| Fax: |