Individual
MR. MATTHEW J BASTIAANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
29 WINDHAM RD, BRISTOL, CT 06010
(860) 261-5367
(860) 261-5367
Mailing address
29 WINDHAM RD, BRISTOL, CT 06010
(860) 261-5367
(860) 261-5367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001281
CT
Other
Enumeration date
08/13/2009
Last updated
02/24/2023
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