Doctor Name: | MR. BRETT E GILLEO |
NPI Number: | 1063456895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LCPC1009 |
Business Practice Address: | 1601 2nd Ave N Suite 342 Great Falls, MT - 59401 |
Business Phone Number: | 4062402045 |
Business Fax Number: | 4065452276 |
Mailing Address: | Po Box 6451, GREAT FALLS |
State: | MT |
Postal Code: | 59406 |
Phone Number: | 4062402045 |
Fax Number: | 4065452276 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCPC1009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |