| Doctor Name: | MRS. JENNIFER LYNN GALLE |
| NPI Number: | 1508195736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC |
| License Number: | 180007070 |
| Business Practice Address: | 15010 S Ravinia Ave Suite 15 Orland Park, IL - 604623162 |
| Business Phone Number: | 7083640580 |
| Business Fax Number: | 7083640480 |
| Mailing Address: | 18530 W 3000n Rd Lot 59, REDDICK |
| State: | IL |
| Postal Code: | 609615918 |
| Phone Number: | 8152120082 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2009 |
| NPI Last Update Date: | 02/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 180007070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |