Individual
RICHARD MICHAEL GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
206 W PARKWAY DR STE 1, EGG HARBOR TWP, NJ 08234-5106
(609) 645-2500
Mailing address
147 LONDON CT, EGG HARBOR TWP, NJ 08234-4433
(609) 214-8640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00312300
NJ
101YP2500X
Professional Counselor
Primary
37PC00681600
NJ
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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