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Organization
GASTON CLINICAL HEALTH CENTER PLLC
Active
Organization
GASTON CLINICAL HEALTH CENTER PLLC
Active
Other names
Gaston Clinical Health Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANN T THOMAS LCAS (DIRECTOR/OWNER)
(704) 297-6111
Entity
Organization
Contact information
Practice address
305 S COLUMBIA ST, GASTONIA, NC 28054-0451
(704) 297-6111
(704) 565-4299
Mailing address
5457 SPINDLE RIDGE LN, GASTONIA, NC 28056-8515
(704) 297-6111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
09/12/2023
Last updated
08/18/2024
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