Individual provider · Type 1 NPI

Bruce E. Gillette, LAC

Addiction (Substance Use Disorder) Counselor · Dickinson, ND

NPI number 1053578005 Active

Practice location

300 13th Ave W Ste 1
Dickinson, ND 58601-4875

Call (701) 227-7580 Map

Fax (701) 227-7575

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1378 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053578005

Bruce E. Gillette, LAC's National Provider Identifier is 1053578005, issued on May 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dickinson, ND. The record was last updated on Nov 28, 2008.