Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith Allen Gilleshammer, MED, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982901666

Keith Allen Gilleshammer, MED, LAC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2011
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

409 7th St S
Fargo, ND 58103-1821
Phone: (701) 293-3384
Fax: (701) 293-3759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2701 12th Ave S, Fargo, ND 58103-8753 — (701) 451-4900

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 26814 (ND)

Record details

NPI number1982901666
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LAC
Sole proprietorNo
NPI enumeratedFebruary 16, 2011
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

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