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General NPI Number Information
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NPI Number | 1770924961
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Entity Type | Individual
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Provider Name | GABRIEL GALLARDO M.ED., LPC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 228 SAINT GEORGE ST
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City | GONZALES
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State | TX
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Zip | 78629-3910
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Country | US
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Telephone | 830-672-6511
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Fax | 830-672-6430
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Provider Business Mailing Address
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Address Line | PO BOX 1890
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City | GONZALES
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State | TX
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Zip | 78629-1390
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Country | US
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Telephone | 830-672-6511
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Fax | 830-672-6430
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 68344
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 68344
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 68344
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 68344
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 68344
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License Number State | TX
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