Organization
ADVANCED COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT GASTON (OWNER)
(405) 844-8085
Entity
Organization
Contact information
Practice address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
Mailing address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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