Individual
ALLAN GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 W CENTER ST, SUITE 15, WEST BRIDGEWATER, MA 02379-1633
(508) 583-9355
(508) 583-9333
Mailing address
234 W CENTER ST, SUITE 15, WEST BRIDGEWATER, MA 02379-1633
(508) 583-9355
(508) 583-9333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1528
MA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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