Individual provider · Type 1 NPI
Lynn Gillis, M.A., L.C.P.C.
Mental Health Counselor · Eagle Butte, SD
NPI number
1043631450
Active
Practice location
24276 166th SE Airport Road
Eagle Butte, SD 57625
Mailing address
PO Box 1711
Eagle Butte, SD 57625-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | SWP-LCPC-LIC-4562 (MT) |
Mental Health Counselor: Definition to come...
About NPI 1043631450
Lynn Gillis, M.A., L.C.P.C.'s National Provider Identifier is 1043631450, issued on Jan 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eagle Butte, SD. The record was last updated on Jan 2, 2014.