Molden, Charkela Jenea Gaston

Molden, Charkela Jenea Gaston is an sole proprietor health care provider with primary practice located at 100 University Pkwy , Macon GA 31206-5145. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Molden, Charkela Jenea Gaston can be contacted via phone (478) 471-2985.

Contact Information

Primary practice address
100 University Pkwy Macon GA 31206-5145
Fax: (478) 471-5730
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X APC005189 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009996 Georgia

Profile Details

NPI number 1043752587
LBN Legal business name Molden, Charkela Jenea Gaston
Credentials ED.S., LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2016
Last updated Jan 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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