Provider Demographics
NPI:1962241596
Name:GILLIGAN, MARGARET C (LGPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:C
Last Name:GILLIGAN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 OLD NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-9211
Mailing Address - Country:US
Mailing Address - Phone:240-743-6538
Mailing Address - Fax:
Practice Address - Street 1:604 SOLAREX CT UNIT 100
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8678
Practice Address - Country:US
Practice Address - Phone:240-200-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15056101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor