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General NPI Number Information
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NPI Number | 1235203563
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE GALLI LPC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 2821 N PARHAM RD STE 101
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City | HENRICO
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State | VA
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Zip | 23294-4412
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Country | US
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Telephone | 804-363-2583
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Fax | 804-501-0244
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Provider Business Mailing Address
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Address Line | 2821 N PARHAM RD STE 101
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City | HENRICO
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State | VA
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Zip | 23294-4412
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Country | US
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Telephone | 804-337-6983
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Fax | 804-510-0244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0718000159
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701003206
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License Number State | VA
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