person
Mr. Larry Bastfield
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1588149009

Larry Bastfield is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). Larry Bastfield practices in Baltimore, MD. The NPI Number for Larry Bastfield is 1588149009 and holds a License No. (Maryland).

The current practice location address for Larry Bastfield is 5404 Reisterstown Rd, Baltimore, MD and can be reached out via phone at 410-764-0590 and via fax at 410-764-8519.

Location: 5404 Reisterstown Rd, Baltimore, MD, 21215-4403
person
Provider Profile Details
NPI Number
1588149009
Provider Name
Larry Bastfield
Credential
Provider Entity Type
Individual
Gender
Male
Address
5404 Reisterstown Rd, Baltimore, MD, 21215-4403
Phone Number
410-764-0590
Fax Number
410-764-8519
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30-0785651 05 MD
30-0785651 01 PREVENTATIVE SERVICES
institution
Provider Business Practice Location Address Details
Address
5404 Reisterstown Rd
City
State
Zip
21215-4403
Phone Number
410-764-0590
Fax Number
410-764-8519
person
Provider Business Mailing Address Details
Address
5404 Reisterstown Rd
City
State
Zip
21215-4403
Phone Number
410-764-0590
Fax Number
410-764-8519
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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