Individual provider · Type 1 NPI

Bonnie Jean Gaston

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1386922656 Active

Practice location

5436 S Broadway
Los Angeles, CA 90037-4126

Call (323) 234-6261 Map

Mailing address

240 W 46 St.
Los Angeles, CA 90037-4126

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 1386922656

Bonnie Jean Gaston's National Provider Identifier is 1386922656, issued on Aug 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 3, 2011.