JON D. GALLAGHER

WATERVILLE, ME
NPI1134400369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC4988)
Enumeration Date2011-09-01
Last Update Date2011-09-01
Business Address
-- JON D. GALLAGHER LADC
67 EUSTIS PKWY
WATERVILLE, ME 04901-5173
Phone number: 207-873-2136
Mailing Address
-- JON D. GALLAGHER LADC
19 MAPLE ST
AUGUSTA, ME 04330-4705
Phone number: 207-458-7780
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