Freeborn, Gillian Amanda Gervais

Freeborn, Gillian Amanda Gervais is an sole proprietor health care provider with primary practice located at 2102 Elm Street N , Fargo ND 58102-2498. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Freeborn, Gillian Amanda Gervais can be contacted via phone (701) 239-3700.

Contact Information

Primary practice address
2102 Elm Street N Fargo ND 58102-2498
Phone: (701) 239-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 506 North Dakota

Profile Details

NPI number 1780025932
LBN Legal business name Freeborn, Gillian Amanda Gervais
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2013
Last updated Apr 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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