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George Byron Gaston
Addiction (Substance Use Disorder) Counselor in Malta, Ohio
NPI 1356993562

George Byron Gaston is an Addiction (Substance Use Disorder) Counselor based in Marietta, OH and is specialized in Addiction (Substance Use Disorder). George Byron Gaston practices in Malta, OH. The NPI Number for George Byron Gaston is 1356993562 and holds a License No. CDCA170928 (Ohio).

The current practice location address for George Byron Gaston is 800 N Main St, Malta, OH and can be reached out via phone at 304-916-8468.

Location: 800 N Main St, Malta, OH, 45750-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356993562
Provider Name
George Byron Gaston
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 N Main St, Malta, OH, 45750-2707
Phone Number
304-916-8468
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 N Main St
City
Malta
State
Ohio
Zip
43758-9019
Phone Number
304-916-8468
Fax Number
person
Provider Business Mailing Address Details
Address
800 N Main St
City
Malta
State
Ohio
Zip
43758-9019
Phone Number
304-916-8468
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA170928 (Ohio)
Definition
Definition to come...
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