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Jonathan Eric Bastian
Professional Counselor in Quincy, Illinois
NPI 1952806226

Jonathan Eric Bastian is a Professional Counselor based in Quincy, IL and is specialized in Professional. Jonathan Eric Bastian practices in Quincy, IL. The NPI Number for Jonathan Eric Bastian is 1952806226 and holds a License No. (Illinois).

The current practice location address for Jonathan Eric Bastian is 205 S 24Th St, Quincy, IL and can be reached out via phone at 217-592-0449.

Location: 205 S 24Th St, Quincy, IL, 62301-4492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952806226
Provider Name
Jonathan Eric Bastian
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 S 24Th St, Quincy, IL, 62301-4492
Phone Number
217-592-0449
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 S 24Th St
City
Quincy
State
Illinois
Zip
62301-4492
Phone Number
217-592-0449
Fax Number
person
Provider Business Mailing Address Details
Address
205 S 24Th St
City
Quincy
State
Illinois
Zip
62301-4492
Phone Number
217-592-0449
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Illinois)
Definition
Definition to come...
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