Individual provider · Type 1 NPI

Kenya Nichole Gaston

Addiction (Substance Use Disorder) Counselor · French Camp, CA

NPI number 1104430925 Active

Practice location

500 W Hospital Rd
French Camp, CA 95231-9693

Call (209) 468-6285 Map

Mailing address

3862 Spinnaker Way
Stockton, CA 95209-5036

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104430925

Kenya Nichole Gaston's National Provider Identifier is 1104430925, issued on Aug 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in French Camp, CA. The record was last updated on Aug 31, 2020.