Individual
DUSTIN J GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(814) 371-1100
(814) 371-3671
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 465-6379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
06/14/2012
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