Richard Allen Bautzer, LMFT
Marriage & Family Therapist in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1265508121
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1265508121
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Allen Bautzer
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2006
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 40764 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 40764 | CA |
Practice location
23461 S Pointe Dr Ste 175Laguna Hills, CA 92653-1538
Phone 714-543-0483 · Fax 714-543-0483
Mailing address
23461 S Pointe Dr Ste 175Laguna Hills, CA 92653-1538
Phone 714-543-0483 · Fax 714-543-0483
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