Healthcare Provider Details

I. General information

NPI: 1972760072
Provider Name (Legal Business Name): RICHARD G GALE, JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RICK GALE MACPC, PCC-S

II. Dates (important events)

Enumeration Date: 05/18/2008
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 CHARRING CROSS DR S
WESTERVILLE OH
43081-2862
US

IV. Provider business mailing address

171 CHARRING CROSS DR S
WESTERVILLE OH
43081-2862
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-8262
  • Fax: 614-776-5333
Mailing address:
  • Phone: 614-890-8262
  • Fax: 614-776-5333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE. 1200006
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: