Individual
MS. K DENISE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A,, L.P.C.
Contact information
Practice address
645 GRISWOLD, 11TH FLR PENOBSCOT BLDG, STE 1135, DETROIT, MI 48226-4011
(313) 224-8828
(313) 237-9299
Mailing address
645 GRISWOLD ST STE 1135, DETROIT, MI 48226-4105
(313) 518-1408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005188
MI
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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