Provider Information for 1154891588
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RACHEL DIANE BASTIDA MA, LMHC
Other Names:Former Name:RACHEL DIANE ROPERSex: Female
NPI: 1154891588
Last Updated: 2024-12-13
Certification Date: 2024-12-13
Certification Date: 2024-12-13
Details
| Name | Value | ||||||||||||
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| NPI | 1154891588 | ||||||||||||
| Enumeration Date | 2018-11-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 21907 64TH AVE W STE 200 MOUNTLAKE TERRACE, WA 98043-6200 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 2311 SW 352ND ST APT B FEDERAL WAY, WA 98023-3178 United States Phone: 253-368-6484 | Fax: | ||||||||||||
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