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NPI Code Detail

MEDICARE: YOLI GALLAGHER LCPC

MEDICARE: YOLI GALLAGHER LCPC
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
1101Y00000XCounselorCC2301ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699735142
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLI GALLAGHER LCPC
Provider Business Mailing Address
First Line : 46 H RD
Second Line :
City : ACTON
State : ME
Zip : 04001-6016
Country : US
Telephone Number : 207-294-4657
Fax Number :
Provider Business Practice Location Address
First Line : 50 MOODY ST
Second Line :
City : SACO
State : ME
Zip : 04072-1536
Country : US
Telephone Number : 207-294-4657
Fax Number : 207-294-4649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/08/2007

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Directions to “ YOLI GALLAGHER LCPC” Practice Location

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