Individual
MR. HAROLD DOUGLAS GASTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, CADC
Contact information
Practice address
14930 LAPLAISANCE, SUITE 106 (HARWOOD PLAZA), MONROE, MI 48162
(734) 646-6144
Mailing address
308 WASHINGTON ST, DUNDEE, MI 48131-0000
(734) 646-6144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00765
MI
101YP2500X
Professional Counselor
Primary
L1690084
MI
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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