IndividualActive
Bruce Gillette, LAC
NPI 1053578005 · Addiction (Substance Use Disorder) Counselor · Dickinson, ND
Provider details
- NPI number
- 1053578005
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- License
- 1378 (ND)
Practice location
300 13th Ave W Ste 1
Dickinson, ND 58601-4875
Phone: (701) 227-7580
Fax: (701) 227-7575
Mailing address
300 13th Ave W Ste 1
Dickinson, ND 58601-4875
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2008-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.