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Michael Gillock, MS
Counselor in South Bend, Indiana
NPI 1265563068

Michael Gillock is a Counselor based in South Bend, IN. Michael Gillock practices in South Bend, IN and has the professional credentials of MS. The NPI Number for Michael Gillock is 1265563068 and holds a License No. (Indiana).

The current practice location address for Michael Gillock is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1107 and via fax at 574-283-1131.

Location: 403 E Madison St, South Bend, IN, 46617-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265563068
Provider Name
Michael Gillock
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
403 E Madison St, South Bend, IN, 46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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