MR. GERARD KOTTENBROCK, LICSW LAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1528161189
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 1540 (ND) |
| Social Worker - Clinical | 1041C0700X | No | LICSW1832 (ND) |
Frequently Asked Questions
NPI 1528161189 is the National Provider Identifier for MR. GERARD KOTTENBROCK, LICSW LAC, a Counselor - Addiction (Substance Use Disorder) provider located in Fargo, ND. This NPI was enumerated on September 7, 2006.
MR. GERARD KOTTENBROCK, LICSW LAC practices at 510 4TH ST S, Fargo, ND 58103.
Quick Facts
- NPI
- 1528161189
- Type
- Individual
- Enumerated
- Sep 7, 2006
- Last Updated
- Sep 11, 2025
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