OrganizationActive
Advance Counseling, PC
NPI 1508119850 · Community/Behavioral Health Agency · Edmond, OK
Provider details
- NPI number
- 1508119850
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dwight Gaston, President(405) 844-8085
- License
- 3578 (OK)
Specialties & taxonomies
Agencies
Practice location
1732 Redland Dr
Edmond, OK 73003-2453
Phone: (405) 844-8085
Fax: (405) 285-1652
Approximate (ZIP-level) locationGet directions
Mailing address
1732 S Kelly Ave
Edmond, OK 73013-3630
Registry dates
- Enumerated
- 2012-10-24
- Last updated
- 2012-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.