Individual
DANIEL GIGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3717 KEOKUK AVE, SPIRIT LAKE, IA 51360
(952) 715-0480
Mailing address
3013 ZENITH AVE UNIT B, SPIRIT LAKE, IA 51360-2134
(952) 715-0480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
05/21/2018
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