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Mr. Carlos Bastardo
Prevention Professional in Plymouth, Indiana
NPI 1417492281

Carlos Bastardo is a Prevention Professional based in Plymouth, IN. Carlos Bastardo practices in Plymouth, IN. The NPI Number for Carlos Bastardo is 1417492281 and holds a License No. 3577690 (Indiana).

The current practice location address for Carlos Bastardo is 11191 Shadylane Dr, Plymouth, IN and can be reached out via phone at 574-936-4152 and via fax at 312-256-9390.

Location: 11191 Shadylane Dr, Plymouth, IN, 46563-8623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417492281
Provider Name
Carlos Bastardo
Credential
Provider Entity Type
Individual
Gender
Male
Address
11191 Shadylane Dr, Plymouth, IN, 46563-8623
Phone Number
574-936-4152
Fax Number
312-256-9390
Provider Enumeration Date
01/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3577690 01 IN NATIONAL PRODUCER NUMBER
institution
Provider Business Practice Location Address Details
Address
11191 Shadylane Dr
City
Plymouth
State
Indiana
Zip
46563-8623
Phone Number
574-936-4152
Fax Number
312-256-9390
person
Provider Business Mailing Address Details
Address
11191 Shadylane Dr
City
Plymouth
State
Indiana
Zip
46563-8623
Phone Number
574-936-4152
Fax Number
312-256-9390
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
3577690 (Indiana)
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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