RICHARD THOMAS BASTUCK

WHEAT RIDGE, CO
NPI1902532096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0998499)
Enumeration Date2022-07-29
Last Update Date2022-07-29
Business Address
RICHARD THOMAS BASTUCK B.S., CAS
7215 W 46TH PL
WHEAT RIDGE, CO 80033-3401
Phone number: 720-961-3511
Mailing Address
RICHARD THOMAS BASTUCK B.S., CAS
7215 W 46TH PL
WHEAT RIDGE, CO 80033-3401
Phone number: 914-400-6993
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