Individual
KERRY GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 BRONZE POINTE BLVD, SWANSEA, IL 62226-1045
(618) 234-9002
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178008072
IL
Other
Enumeration date
01/10/2019
Last updated
02/14/2019
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