Individual
DIANE BASTABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
51 PLEASANT ST, NEWBURYPORT, MA 01950-2625
(978) 618-7551
Mailing address
51 PLEASANT ST, PO BOX 1032, NEWBURYPORT, MA 01950-2625
(978) 618-7551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5699
MA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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