person
Diane Marie Bast, LPC
Professional Counselor in Elm Grove, Wisconsin
NPI 1568512572

Diane Marie Bast is a Professional Counselor based in Elm Grove, WI and is specialized in Professional. Diane Marie Bast practices in Elm Grove, WI and has the professional credentials of LPC. The NPI Number for Diane Marie Bast is 1568512572 and holds a License No. 3821125 (Wisconsin).

The current practice location address for Diane Marie Bast is 500 Elm Grove Rd, Elm Grove, WI and can be reached out via phone at 262-782-2090 and via fax at 262-782-2092.

Location: 500 Elm Grove Rd, Elm Grove, WI, 53220
person
Provider Profile Details
NPI Number
1568512572
Provider Name
Diane Marie Bast
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
500 Elm Grove Rd, Elm Grove, WI, 53220
Phone Number
262-782-2090
Fax Number
262-782-2092
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 Elm Grove Rd
City
State
Zip
53220
Phone Number
262-782-2090
Fax Number
262-782-2092
person
Provider Business Mailing Address Details
Address
500 Elm Grove Rd
City
State
Zip
53220
Phone Number
262-782-2090
Fax Number
262-782-2092
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3821125 (Wisconsin)
Definition
Definition to come...
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