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Individual

MR. BRETT E GILLEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1601 2ND AVE N, SUITE 342, GREAT FALLS, MT 59401
(406) 240-2045
(406) 545-2276
Mailing address
PO BOX 6451, GREAT FALLS, MT 59406
(406) 240-2045
(406) 545-2276

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
106H00000X
Marriage & Family Therapist

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
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