| NPI | 1780730028 |
|---|---|
| Other Name | PAMELA GASTON-EASTBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00847-L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0901) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |