Whalio Doctors

NPI 1679819106

Advance Counseling, PC

Organisation Community/Behavioral Health Agency Stillwater, OK

Practice location

Address
217 W 5th Ave Suite 6, Stillwater, OK 74074-4056
Phone
(405) 844-8085
Fax
(405) 285-1652
Mailing address
1732 Redland Dr, Edmond, OK 73003-2453

Authorised official

Name
Dwight Edwin Gaston
Title
Ceo
Phone
(405) 844-8085

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 2578 (OK)

Registry record

NPI
1679819106
Entity type
Organization
NPI issued
3 Jan 2013
Record last updated
3 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.