Bryan Rastello

NPI #1922682632 in Portage, Wisconsin

Provider Information

NPI Number: 1922682632
Entity Type: Individual
Name: Bryan Rastello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: May 9, 2021
Last Updated: May 9, 2021

Practice Location

Address: 1508 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-1312
Phone: (608) 745-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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