Derek Bastian, MA

NPI #1336099647 in Glen Carbon, Illinois

Provider Information

NPI Number
1336099647
Entity Type
Individual
Name
Derek Bastian, MA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MA
Enumeration Date
Jan 28, 2026
Last Updated
Jan 28, 2026

Practice Location

Address
88 S MAIN ST
ZIP Code
62034-1415
Phone
(618) 288-8085

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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