Individual
GEOFFREY GAUKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LPCC
Contact information
Practice address
501 N COLUMBIA RD STOP 7132, GRAND FORKS, ND 58203-2817
(701) 777-3691
(701) 777-3845
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8311986
ID
101YP2500X
Professional Counselor
921-10-1-17-594
ND
Other
Enumeration date
07/19/2022
Last updated
12/06/2024
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