Individual
MICHELLE GAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8759
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8759
(701) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1445
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017428
BCBS OF ND
—
Enumeration date
06/21/2006
Last updated
07/08/2007
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