KEITH GILLESHAMMER, M.ED, LAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1982901666
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 26814 (ND) |
Frequently Asked Questions
NPI 1982901666 is the National Provider Identifier for KEITH GILLESHAMMER, M.ED, LAC, a Counselor - Addiction (Substance Use Disorder) provider located in Fargo, ND. This NPI was enumerated on February 16, 2011.
KEITH GILLESHAMMER, M.ED, LAC practices at 409 7TH ST S, Fargo, ND 58103.
Quick Facts
- NPI
- 1982901666
- Type
- Individual
- Enumerated
- Feb 16, 2011
- Last Updated
- Feb 17, 2020
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