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General NPI Number Information
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NPI Number | 1659636397
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Entity Type | Individual
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Provider Name | JUDY G GALLAGHER MA, MLADC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 170 COMMERCE WAY
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3226
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | WEST PETERBOROUGH
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State | NH
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Zip | 03468-0013
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Country | US
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Telephone | 978-216-2770
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Fax | 833-419-0181
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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 | 0965
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License Number State | NH
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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 | 4631
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License Number State | NH
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