BARRY WARREN BASTIAN

SANTA ROSA, CA
NPI1649035460
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT43040)
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
Mr. BARRY WARREN BASTIAN MA, MS
390 CAHILL LN
SANTA ROSA, CA 95401-5554
Phone number: 415-707-7838
Mailing Address
Mr. BARRY WARREN BASTIAN MA, MS
1275 4TH ST # 5019
SANTA ROSA, CA 95404-4057
Phone number: 415-707-7838