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General NPI Number Information
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NPI Number | 1760386338
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Entity Type | Organization
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Legal Business Name | JACQUELYN GALLES
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2024 JACKSON BLVD
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City | RAPID CITY
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State | SD
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Zip | 57702-3481
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Country | US
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Telephone | 605-939-1210
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Fax | 712-248-8041
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Provider Business Mailing Address
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Address Line | 7999 COUNTRY VIEW PL
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City | RAPID CITY
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State | SD
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Zip | 57702-8743
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Country | US
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Telephone | 605-939-1210
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Fax | 712-248-8041
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELYN GALLES
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Credential | MS, NCC, LPC-MH
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Telephone | 605-923-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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