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Individual

LATONYA REASHAWN GASTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPC-INTERN

Contact information

Practice address
1001 COUNTRY GROVE AVE, NORTH LAS VEGAS, NV 89030-4707
(702) 439-9358
Mailing address
1001 COUNTRY GROVE AVE, NORTH LAS VEGAS, NV 89030-4707
(702) 439-9358

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CI0133
NV
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/22/2011
Last updated
06/30/2014
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