Individual provider · Type 1 NPI
Jill Marie Gallegos, LPC LAC CSAT-S CPTT
Mental Health Counselor · Lakewood, CO
NPI number
1053957407
Active
Practice location
1480 S Depew St
Lakewood, CO 80232-5860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0017192 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1053957407
Jill Marie Gallegos, LPC LAC CSAT-S CPTT's National Provider Identifier is 1053957407, issued on Nov 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Oct 27, 2026.