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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE MARIE BAST, LPC

Active

DIANE MARIE BAST, LPC is a Professional Counselor healthcare provider located in ELM GROVE, Wisconsin. NPI 1568512572 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ELM GROVE, WI

Registration Details

NPI Number
1568512572
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2007 (19.405553034301 yrs)
Last Updated
Jul 8, 2007
License
3821125 (WI)

Practice Information

Address
500 ELM GROVE RD
SUITE 100
ELM GROVE, WI, 53220
Browse WI providers · Browse ZIP 53220
Phone
2627822090
Fax
2627822092
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in ELM GROVE, WI

Name Credential NPI
MRS. THERESA MARIE SHUCK MS,MA,LCGC,LPC 1598743239
MRS. COLLEEN PATRICIA ROURKE M.S. 1902864309
MRS. TAMMY M GROSZCZYK M.S. LPC 1932138245
MS. MARY ELIZABETH AMUNSON LPC 1689772667
MRS. RENE ANN BURGOYNE MS, ATRL-BC 1952493470
MR. JAY WILLIAM GAETHKE LPC, SAC, CSW 1346325446
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.