Individual
DR. KEVIN JAMES BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
6811 DORCHESTER ST, NEW ORLEANS, LA 70126-1733
(504) 920-2806
Mailing address
6811 DORCHESTER ST, NEW ORLEANS, LA 70126-1733
(504) 920-2806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
453
LA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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