Individual
ABIGAIL GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(925) 877-9259
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
G43001494835
IL
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
08/12/2019
Last updated
05/19/2022
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