Individual provider · NPI-1

Jason Bast, LPC

Counselor, Mental Health · Mason, OH

NPI number1053958512
StatusActive
Last updated in NPPESNov 21, 2022

Details

NPI
1053958512
Entity type
Individual (NPI-1)
Name
Jason Bast
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 4, 2019
Certification date
Nov 21, 2022
Last updated
Nov 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC.1801133OHYes

Practice location

4075 Old Western Row Rd
Mason, OH 45040-3104

Phone 513-536-0865

Mailing address

4075 Old Western Row Rd
Mason, OH 45040-3104

Phone 513-536-0865

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