Individual provider · Type 1 NPI
Taffy A. Gaston, LPC
Professional Counselor · Moline, IL
NPI number
1528626207
Active
Practice location
2424 40th Ave Apt 5
Moline, IL 61265-7215
Mailing address
819 Seward St Apt Dg
Evanston, IL 60202-2873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178002175 |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1528626207
Taffy A. Gaston, LPC's National Provider Identifier is 1528626207, issued on May 29, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moline, IL. The record was last updated on May 29, 2019.