Mr. Gerard W Kottenbrock, LICSWLAC
Mr. Gerard W Kottenbrock, LICSWLAC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.
- Licensed in
- ND
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
510 4th St SFargo, ND 58103
Phone: (701) 476-7240
Fax: (701) 476-7269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1540 (ND) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence LICSW1832 (ND) |
Record details
| NPI number | 1528161189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSWLAC |
| Sole proprietor | No |
| NPI enumerated | September 7, 2006 |
| Last updated in NPPES | September 11, 2025 |
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