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Individual

MR. BRETT E GILLEO

Active
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Individual

MR. BRETT E GILLEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC1009
MT
101Y00000X
Counselor
Primary
103K00000X
Behavior Analyst
103TC1900X
Counseling Psychologist
LCPC 1009
MT
106H00000X
Marriage & Family Therapist
LCPC1009
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000742490
BC BS
MT
05
0256854
MT
Enumeration date
06/15/2006
Last updated
08/18/2015
About Stedi
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