Diane Bast, LPC

NPI 1568512572 · on the registry since 2007

Practice

Address: 500 Elm Grove Rd
Suite 100
Elm Grove, WI 53220
Phone: (262) 782-2090
Fax: (262) 782-2092
Organisation at this address: Trillium Care Group Llc
Jensen Health & Energy Center, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin