NPI | 1285933523 |
---|---|
Other Name | H. DOUGLAS GASTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L1690084) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 00765) |
Enumeration Date | 2011-03-25 |
Last Update Date | 2011-03-25 |