MEDICARE: JACQUELINE L GALLAGHER MSW, SWLC

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
1	101YM0800X	Mental Health Counselor	80845	MT

General Provider Information

NPI Number	:	1881572857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE L GALLAGHER MSW, SWLC

Provider Business Mailing Address
First Line	:	PO BOX 50565
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-0565
Country	:	US
Telephone Number	:	406-670-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	490 N 31ST ST STE 108
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1256
Country	:	US
Telephone Number	:	406-670-1632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	02/03/2026

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