Provider Demographics
NPI:1972760072
Name:GALE, JR., RICHARD G
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:G
Last Name:GALE, JR.
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:GALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MACPC, PCC-S
Mailing Address - Street 1:171 CHARRING CROSS DR S
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2862
Mailing Address - Country:US
Mailing Address - Phone:614-890-8262
Mailing Address - Fax:614-776-5333
Practice Address - Street 1:171 CHARRING CROSS DR S
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2862
Practice Address - Country:US
Practice Address - Phone:614-890-8262
Practice Address - Fax:614-776-5333
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 1200006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional