Individual
MR. BRUCE E GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7580
(701) 227-7575
Mailing address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7580
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1378
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54523
—
ND
Enumeration date
05/19/2008
Last updated
11/28/2008
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