Individual
CAROL BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
672 PARKSIDE AVE, BROOKLYN, NY 11226-2298
(718) 246-5750
Mailing address
102 BRADHURST AVE APT 613, NEW YORK, NY 10039-3321
(646) 207-7176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
073789-1
NY
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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