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General NPI Number Information
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NPI Number | 1790201010
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Entity Type | Individual
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Provider Name | JOSEPH GALLAGHER LCPC
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Gender | Male
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 845 QUINCE ORCHARD BLVD STE F
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1676
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Country | US
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Telephone | 757-710-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 265 YUCKY RUN RD
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City | PETERSBURG
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State | WV
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Zip | 26847-8651
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Country | US
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Telephone | 757-710-0395
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC11292
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License Number State | MD
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