DIANE BAST, LPC
Counselor - Professional
Active
Individual
NPI: 1568512572
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 3821125 (WI) |
Frequently Asked Questions
NPI 1568512572 is the National Provider Identifier for DIANE BAST, LPC, a Counselor - Professional provider located in Elm Grove, WI. This NPI was enumerated on January 11, 2007.
DIANE BAST, LPC practices at 500 ELM GROVE RD, SUITE 100, Elm Grove, WI 53220.
Quick Facts
- NPI
- 1568512572
- Type
- Individual
- Enumerated
- Jan 11, 2007
- Last Updated
- Jul 8, 2007
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