Individual
JASON BAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0865
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1801133
OH
Other
Enumeration date
12/04/2019
Last updated
11/21/2022
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