Individual
STEPHANIE G GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
278 KENNY DAVIS BLVD, MONTICELLO, KY 42633-9479
(844) 435-0900
(270) 858-4607
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
252659
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15191389
CAQH
—
05
—
7100751380
—
KY
Enumeration date
07/18/2014
Last updated
07/18/2023
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