Provider Demographics
NPI:1972186229
Name:GALSTERER, JILL
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:GALSTERER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10683 S SAGINAW ST STE F
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8127
Mailing Address - Country:US
Mailing Address - Phone:810-230-4224
Mailing Address - Fax:844-918-0774
Practice Address - Street 1:10683 S SAGINAW ST STE F
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8127
Practice Address - Country:US
Practice Address - Phone:810-230-4224
Practice Address - Fax:844-918-0774
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451019165101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor