Individual
AUSTIN THOMAS BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 W RANDALL ST STE 2A, COOPERSVILLE, MI 49404-1393
(616) 987-0122
Mailing address
309 EASTERN AVE SE APT 2, GRAND RAPIDS, MI 49503-4815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024328
MI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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