James S Bastien, LICSW, MHD Valid NPI
Individual provider · Clinical Social Worker · Leeds, MA
- NPI
- 1356636112
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 116407 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-06-09
- Last updated
- 2012-07-02
Practice location
421 N Main St
Leeds, MA 01053-9764
(413) 548-4040