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NPI Code Detail

MEDICARE: CAITLIN GALLEGOS LPC

MEDICARE: CAITLIN GALLEGOS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor85279TX

General Provider Information

NPI Number : 1508431339
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN GALLEGOS LPC
Provider Business Mailing Address
First Line : 730 S CLARK ST APT 306
Second Line :
City : CHICAGO
State : IL
Zip : 60605-1744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 618 CLARA BARTON BLVD STE 7
Second Line :
City : GARLAND
State : TX
Zip : 75042-5731
Country : US
Telephone Number : 214-385-5445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 04/17/2023

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Directions to “ CAITLIN GALLEGOS LPC” Practice Location

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