Active NPIIndividual provider

Jon D Gallagher, LADC

Counselor, Addiction (Substance Use Disorder) in Waterville, Maine

NPI Number1134400369
Practice location
67 Eustis Pkwy, Waterville, ME 04901-5173
Fax
207-872-4522
Last updated
September 1, 2011

Jon D. Gallagher is a Counselor, Addiction (Substance Use Disorder) based in Waterville, ME. Jon D. Gallagher practices in Waterville, ME and has the professional credentials of LADC. The NPI Number for Jon D. Gallagher is 1134400369 and holds a License No. LC4988 (ME). The current practice location address for Jon D. Gallagher is 67 Eustis Pkwy, Waterville, ME 04901-5173 and can be reached out via phone at 207-873-2136 and via fax at 207-872-4522.

Provider Profile Details

NPI Number
1134400369
Provider Name
Jon D. Gallagher
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
67 Eustis Pkwy, Waterville, ME 04901-5173
Phone Number
207-873-2136
Fax Number
207-872-4522
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2011
Last Update Date
September 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Eustis Pkwy
Waterville, ME 04901-5173
State
Maine
Zip
04901-5173
Phone Number
207-873-2136
Fax Number
207-872-4522
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
19 Maple St
Augusta, ME 04330-4705
City
Augusta
State
ME
Zip
04330-4705
Phone Number
207-458-7780

License Information

License Number
LC4988
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jon D Gallagher, LADC?

The NPI number of Jon D Gallagher, LADC is 1134400369. It was assigned on September 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Jon D Gallagher, LADC?

Jon D Gallagher, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC4988.

Where does Jon D Gallagher, LADC practice?

The practice location is 67 Eustis Pkwy, Waterville, ME 04901-5173. The office can be reached at 207-873-2136 (phone) or 207-872-4522 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134400369 directly on the NPPES registry website.

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