Individual
MRS. DEBBIE L BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
Mailing address
4102 BOBOLINK LN, LARAMIE, WY 82070-5534
(307) 399-3180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
900
WY
Other
Enumeration date
02/23/2006
Last updated
10/27/2020
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