Individual provider · Type 1 NPI

Jon D. Gallagher, LADC

Addiction (Substance Use Disorder) Counselor · Waterville, ME

NPI number 1134400369 Active

Practice location

67 Eustis Pkwy
Waterville, ME 04901-5173

Call (207) 873-2136 Map

Fax (207) 872-4522

Mailing address

19 Maple St
Augusta, ME 04330-4705

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC4988 (ME)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134400369

Jon D. Gallagher, LADC's National Provider Identifier is 1134400369, issued on Sep 1, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterville, ME. The record was last updated on Sep 1, 2011.