Individual
MR. KEVIN P GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCMHC
Contact information
Practice address
2 CHURCH ST, SUITE 4G, BURLINGTON, VT 05401-4299
(802) 651-7674
(802) 658-1777
Mailing address
48 NORTHSHORE DR, BURLINGTON, VT 05401-1250
(802) 651-7674
(802) 658-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005799
—
VT
Enumeration date
09/13/2006
Last updated
07/09/2007
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