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Carrie Elizabeth Bastow
Professional Counselor in Erie, Pennsylvania
NPI 1326182643

Carrie Elizabeth Bastow is a Professional Counselor based in Erie, PA and is specialized in Professional. Carrie Elizabeth Bastow practices in Erie, PA. The NPI Number for Carrie Elizabeth Bastow is 1326182643 and holds a License No. PC004300 (Pennsylvania).

The current practice location address for Carrie Elizabeth Bastow is 4021 W 12Th St Ofc 3, Erie, PA and can be reached out via phone at 814-806-4474.

Location: 4021 W 12Th St Ofc 3, Erie, PA, 16505-3354
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Provider Profile Details
NPI Number
1326182643
Provider Name
Carrie Elizabeth Bastow
Credential
Provider Entity Type
Individual
Gender
Female
Address
4021 W 12Th St Ofc 3, Erie, PA, 16505-3354
Phone Number
814-806-4474
Fax Number
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251317492 01 VANTAGE
institution
Provider Business Practice Location Address Details
Address
4021 W 12Th St Ofc 3
City
State
Zip
16505-3354
Phone Number
814-806-4474
Fax Number
person
Provider Business Mailing Address Details
Address
4021 W 12Th St Ofc 3
City
State
Zip
16505-3354
Phone Number
814-806-4474
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC004300 (Pennsylvania)
Definition
Definition to come...
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