BRADLEY BASTIAN

ELLENSBURG, WA
NPI1790173318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG60507900)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- BRADLEY BASTIAN
220 W 4TH AVE
ELLENSBURG, WA 98926-3060
Phone number: 509-575-4084
Mailing Address
-- BRADLEY BASTIAN
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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