Organization
TADVANCE COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT E GASTON (PRESIDENT)
(405) 844-8085
Entity
Organization
Contact information
Practice address
1015 WATERWOOD PKWY STE G-B2, EDMOND, OK 73034-5355
(405) 844-8085
(405) 285-1652
Mailing address
2525 NW EXPRESSWAY STE 301D, OKLAHOMA CITY, OK 73112-7227
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2578
OK
251S00000X
Community/Behavioral Health Agency
Primary
2578
OK
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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