| Doctor Name: | DR. JENNIFER GILLIARD |
| NPI Number: | 1104095835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 550 |
| Business Practice Address: | 125 W Granite St Suite 208 Butte, MT - 597019215 |
| Business Phone Number: | 4067822393 |
| Business Fax Number: | |
| Mailing Address: | 125 W Granite St, Suite 208 BUTTE |
| State: | MT |
| Postal Code: | 597019215 |
| Phone Number: | 4067235403 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |