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NPI Code Detail

MEDICARE: CHELSEA GALLEGOS LSWAIC

MEDICARE: CHELSEA GALLEGOS LSWAIC
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
1101YM0800XMental Health CounselorSC61226104WA

General Provider Information

NPI Number : 1619869955
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA GALLEGOS LSWAIC
Provider Business Mailing Address
First Line : 5114 S CRESTON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98178-2110
Country : US
Telephone Number : 206-313-2686
Fax Number :
Provider Business Practice Location Address
First Line : 3013 S MOUNT BAKER BLVD
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6139
Country : US
Telephone Number : 206-313-2686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

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Directions to “ CHELSEA GALLEGOS LSWAIC” Practice Location

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