LISA BASTUSCHECK

KLAMATH FALLS, OR
NPI1265809594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-08-21
Last Update Date2015-08-21
Business Address
-- LISA BASTUSCHECK
4520 BRISTOL AVE APT 102
KLAMATH FALLS, OR 97603-8045
Phone number: 541-850-5880
Mailing Address
-- LISA BASTUSCHECK
4520 BRISTOL AVE APT 102
KLAMATH FALLS, OR 97603-8045
Phone number: 541-850-5880
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