Danielle Bastian, LMHC
Counselor, Mental Health in Lafayette, IN. Individual provider (NPI-1).
NPI number1699366153
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1699366153
- Entity type
- Individual (NPI-1)
- Name
- Danielle Bastian
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2021
- Certification date
- Jan 11, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 88001339A | IN | Yes |
| 101YM0800X | Counselor, Mental Health | 99102625A | IN |
Practice location
615 N 18th St Ste 101Lafayette, IN 47904-3413
Phone 765-423-5361 · Fax 765-447-8411
Mailing address
615 N 18th St Ste 101Lafayette, IN 47904-3413
Phone 765-423-5361 · Fax 765-447-8411
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