Doctor Name: | BRIAN J GILES |
NPI Number: | 1447550900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BHP |
License Number: | |
Business Practice Address: | 127 Palmer St Calais, ME - 046191300 |
Business Phone Number: | 2074540270 |
Business Fax Number: | 2074540232 |
Mailing Address: | 127 Palmer St, CALAIS |
State: | ME |
Postal Code: | 046191300 |
Phone Number: | 2074540270 |
Fax Number: | 2074540232 |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |