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Organization
BASTEDO PSYCHOLOGICAL INC
Active
Organization
BASTEDO PSYCHOLOGICAL INC
Active
Other names
Coast Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDGAR BASTEDO MFCT (OWNER PRESIDENT)
(562) 498-1750
Entity
Organization
Contact information
Practice address
5199 E PACIFIC COAST HWY, SUITE 504, LONG BEACH, CA 90804-3371
(562) 498-1750
(562) 498-7463
Mailing address
5199 E PACIFIC COAST HWY, SUITE 504, LONG BEACH, CA 90804-3371
(562) 498-1750
(562) 498-7463
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15096
CA
106H00000X
Marriage & Family Therapist
16737
CA
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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