Katie Bastien, MHP

NPI #1073028486 in Du Quoin, Illinois

Provider Information

NPI Number: 1073028486
Entity Type: Individual
Name: Katie Bastien, MHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MHP
Enumeration Date: Dec 7, 2017
Last Updated: Dec 7, 2017

Practice Location

Address: 1016 S MADISON ST
City: Du Quoin
State: Illinois
ZIP Code: 62832-2442
Phone: (618) 542-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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