Individual
JACKIE HELEN GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2147 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80909-1507
(719) 201-7953
Mailing address
1305 HILLCREST AVE, COLORADO SPRINGS, CO 80909-3621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0004671
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82139717
—
CO
Enumeration date
11/14/2007
Last updated
04/25/2024
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