Individual provider · Type 1 NPI

Bradley Bastian

Mental Health Counselor · Ellensburg, WA

NPI number 1790173318 Active

Practice location

220 W 4th Ave
Ellensburg, WA 98926-3060

Call (509) 575-4084 Map

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60507900 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1790173318

Bradley Bastian's National Provider Identifier is 1790173318, issued on Jan 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellensburg, WA. The record was last updated on Jan 5, 2015.