Provider Demographics
NPI:1326385147
Name:GALLAGHER, CHRISTI C (MED, PCC-S, LSW)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:C
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MED, PCC-S, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 BELL ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1720
Mailing Address - Country:US
Mailing Address - Phone:740-454-9766
Mailing Address - Fax:740-588-6452
Practice Address - Street 1:710 MAIN ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1615
Practice Address - Country:US
Practice Address - Phone:740-622-4470
Practice Address - Fax:740-622-5580
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008057-S101YP2500X
OHS. 0021176104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0197652Medicaid