| Doctor Name: | GRETCHEN HILLESHEIM |
| NPI Number: | 1013332469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 715 |
| Business Practice Address: | 513 5th St Sw Willmar, MN - 562013216 |
| Business Phone Number: | 3202149692 |
| Business Fax Number: | 3202149924 |
| Mailing Address: | Po Box 1810, WILLMAR |
| State: | MN |
| Postal Code: | 562011810 |
| Phone Number: | 3202149692 |
| Fax Number: | 3202149924 |
| NPI Enumeration Date: | 02/21/2014 |
| NPI Last Update Date: | 02/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |