Individual provider · Type 1 NPI

Derek Bastian, MA

Mental Health Counselor · Glen Carbon, IL

NPI number 1336099647 Active

Practice location

88 S Main St
Glen Carbon, IL 62034-1415

Call (618) 288-8085 Map

Other practice locations

  • 200 W 3rd St Ste 705&706, Alton, IL 62002-6180 · (618) 288-8085

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

21 other providers at this address

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About NPI 1336099647

Derek Bastian, MA's National Provider Identifier is 1336099647, issued on Jan 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Carbon, IL. The record was last updated on Jan 28, 2026.