person
Keith Allen Gilleshammer, MED,LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1982901666

Keith Allen Gilleshammer is an Addiction (Substance Use Disorder) Counselor based in Fargo, ND and is specialized in Addiction (Substance Use Disorder). Keith Allen Gilleshammer practices in Fargo, ND and has the professional credentials of MED,LAC. The NPI Number for Keith Allen Gilleshammer is 1982901666 and holds a License No. 26814 (North Dakota).

The current practice location address for Keith Allen Gilleshammer is 409 7Th St S, Fargo, ND and can be reached out via phone at 701-293-3384 and via fax at 701-293-3759.

Location: 409 7Th St S, Fargo, ND, 58103-1821
person
Provider Profile Details
NPI Number
1982901666
Provider Name
Keith Allen Gilleshammer
Credential
MED,LAC
Provider Entity Type
Individual
Gender
Male
Address
409 7Th St S, Fargo, ND, 58103-1821
Phone Number
701-293-3384
Fax Number
701-293-3759
Provider Enumeration Date
02/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 7Th St S
City
State
Zip
58103-1821
Phone Number
701-293-3384
Fax Number
701-293-3759
person
Provider Business Mailing Address Details
Address
409 7Th St S
City
State
Zip
58103-1821
Phone Number
701-293-3384
Fax Number
701-293-3759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
26814 (North Dakota)
Definition
Definition to come...
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