person
Judith Marie Bastin
Addiction (Substance Use Disorder) Counselor in Antioch, California
NPI 1104031285

Judith Marie Bastin is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Judith Marie Bastin practices in Antioch, CA. The NPI Number for Judith Marie Bastin is 1104031285 and holds a License No. (California).

The current practice location address for Judith Marie Bastin is 1915 D St, Antioch, CA and can be reached out via phone at 925-754-3673 and via fax at 925-754-2002. You can also correspond with Judith Marie Bastin through the mailing address at 1915 D ST, ANTIOCH, CA - 94509-2571 (mailing address contact number: 925-754-3673).

Location: 1915 D St, Antioch, CA, 94509-2571
person
Provider Profile Details
NPI Number
1104031285
Provider Name
Judith Marie Bastin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1915 D St, Antioch, CA, 94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0753 01 CA MEDI-CAL BILLING NUMBER
070753 01 CA MASTER PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1915 D St
City
State
Zip
94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
person
Provider Business Mailing Address Details
Address
1915 D St
City
State
Zip
94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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