Organization
ADVANCE COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT GASTON (PRESIDENT)
(405) 844-8085
Entity
Organization
Contact information
Practice address
2525 NW EXPRESSWAY, ST: 301D, OKLAHOMA CITY, OK 73112-7227
(405) 844-8085
(405) 285-1652
Mailing address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
(405) 285-1652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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