Healthcare Provider Details

I. General information

NPI: 1023691342
Provider Name (Legal Business Name): AARON GALLOWAY LPCC, EMDR-II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 SPRING ST STE B
NEVADA CITY CA
95959-2446
US

IV. Provider business mailing address

419 SPRING ST STE B
NEVADA CITY CA
95959-2446
US

V. Phone/Fax

Practice location:
  • Phone: 319-361-9234
  • Fax:
Mailing address:
  • Phone: 319-361-9234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0017795
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC16880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: