KEITH ALLEN GILLESHAMMER

FARGO, ND
NPI1982901666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND  26814)
Enumeration Date2011-02-16
Last Update Date2020-02-17
Business Address
KEITH ALLEN GILLESHAMMER M.ED, LAC
409 7TH ST S
FARGO, ND 58103-1821
Phone number: 701-293-3384
Mailing Address
KEITH ALLEN GILLESHAMMER M.ED, LAC
409 7TH ST S
FARGO, ND 58103-1821
Phone number: 701-293-3384
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