Individual
CHRISTINA BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
534 E 300 N UNIT 112, VINEYARD, UT 84059-2670
(801) 995-1789
Mailing address
534 E 300 N UNIT 112, VINEYARD, UT 84059-2670
(801) 995-1789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
11/22/2021
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