Individual provider · Type 1 NPI
Jessica Ann Gallegos
Mental Health Counselor · Philadelphia, PA
NPI number
1811895667
Active
Practice location
1700 Market St Ste 1005
Philadelphia, PA 19103-3920
Mailing address
21 Fern Trl
Holtwood, PA 17532-9671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC016263 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1811895667
Jessica Ann Gallegos's National Provider Identifier is 1811895667, issued on Oct 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 29, 2026.