MEDICARE: CLAUDIA LORENA GALLENSTEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC013545	GA
2	101YM0800X	Mental Health Counselor	LPC9407	SC

General Provider Information

NPI Number	:	1326541343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LORENA GALLENSTEIN

Provider Business Mailing Address
First Line	:	3 ABBEY AVE
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4762
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 FABER PLACE DR STE 300
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29405-8587
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2018
Last Update Date	:	05/27/2024

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Directions to “ CLAUDIA LORENA GALLENSTEIN ” Practice Location

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