Chanel Bastou
Chanel Bastou is a Marriage & Family Therapist in Tustin, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
13841 Tustin East Dr Apt A209Tustin, CA 92780-5349
Phone: (657) 229-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1528730686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
| Mailing address | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 |
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