Individual
CHRISTOPHER J BASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
1206 W 96TH ST, BLOOMINGTON, MN 55431-2606
(952) 884-4882
(952) 884-0284
Mailing address
1206 W 96TH ST, BLOOMINGTON, MN 55431-2606
(952) 884-4882
(952) 884-0284
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
LAMFT 1583
MN
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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