| Doctor Name: | DR. CARL ROBERT GILLETT |
| NPI Number: | 1023231339 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMSW |
| License Number: | 6801034628 |
| Business Practice Address: | 5800 Eastman Ave Suite 201 Midland, MI - 486406815 |
| Business Phone Number: | 9896319145 |
| Business Fax Number: | 9896319145 |
| Mailing Address: | 5800 Eastman Ave, Suite 201 MIDLAND |
| State: | MI |
| Postal Code: | 486406815 |
| Phone Number: | 9896319145 |
| Fax Number: | 9896319145 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801034628 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |