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General NPI Number Information
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NPI Number | 1649561317
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Entity Type | Individual
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Provider Name | ROCHELLE MARIE GALLETTI LPC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 4691 WINDFALL RD
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City | MEDINA
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State | OH
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Zip | 44256-8705
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Country | US
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Telephone | 770-855-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 JASMINE DR
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City | SEVEN HILLS
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State | OH
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Zip | 44131-5115
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Country | US
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Telephone | 770-855-3827
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Fax |
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0006041
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License Number State | GA
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