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1649035460
BARRY WARREN BASTIAN
SANTA ROSA, CA
NPI
1649035460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT43040)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
Mr. BARRY WARREN BASTIAN MA, MS
390 CAHILL LN
SANTA ROSA, CA 95401-5554
Phone number: 415-707-7838
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Mailing Address
Mr. BARRY WARREN BASTIAN MA, MS
1275 4TH ST # 5019
SANTA ROSA, CA 95404-4057
Phone number: 415-707-7838
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