Healthcare Provider Details

I. General information

NPI: 1437703659
Provider Name (Legal Business Name): SARAH MARIE GALLAGHER LPCC-13935
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2181 S EL CAMINO REAL STE 204
OCEANSIDE CA
92054-6288
US

IV. Provider business mailing address

2181 S EL CAMINO REAL STE 204
OCEANSIDE CA
92054-6288
US

V. Phone/Fax

Practice location:
  • Phone: 808-896-4051
  • Fax:
Mailing address:
  • Phone: 619-549-0329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-830
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: