Provider Demographics
NPI:1710234000
Name:GILMAN, DONALD L (CADC II)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:L
Last Name:GILMAN
Suffix:
Gender:M
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3218
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93385-3218
Mailing Address - Country:US
Mailing Address - Phone:661-325-8510
Mailing Address - Fax:661-325-3929
Practice Address - Street 1:600 BERNARD ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-3020
Practice Address - Country:US
Practice Address - Phone:661-325-8510
Practice Address - Fax:661-325-3929
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA3630709101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)