Individual
VINCENT GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, NCACII
Contact information
Practice address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 652-4100
(314) 289-6541
Mailing address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 652-4100
(314) 289-6541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
016055
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21994
IL
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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