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Individual

RAYMOND MICHAEL GILLETT

Active
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Individual

RAYMOND MICHAEL GILLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW, LAC, MDIV

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4877
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
001
KS
101YM0800X
Mental Health Counselor
4877
KS
101YP1600X
Pastoral Counselor
—
NULL
104100000X
Social Worker
4877
KS
1041C0700X
Clinical Social Worker
Primary
4877
KS
171M00000X
Case Manager/Care Coordinator
—
NULL
172V00000X
Community Health Worker
—
NULL

Other

Enumeration date
10/09/2015
Last updated
03/19/2019
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