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General NPI Number Information
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NPI Number | 1780327205
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Entity Type | Organization
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Legal Business Name | LISA M. GALLAGHER LCPC, PLLC.
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 3205 N WILKE RD STE 116
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-0001
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Country | US
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Telephone | 224-805-6817
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Fax |
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Provider Business Mailing Address
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Address Line | 3905 W NICHOLS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1388
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Country | US
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Telephone | 224-805-6817
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LISA M GALLAGHER
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Credential | LCPC
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Telephone | 224-805-6817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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