Brigitte Bautista, LCSW
Social Worker, Clinical in Lancaster, CA. Individual provider (NPI-1).
NPI number1417436635
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1417436635
- Entity type
- Individual (NPI-1)
- Name
- Brigitte Bautista
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 109700 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 84098 | CA |
Practice location
335 E Avenue ILancaster, CA 93535-1916
Phone 213-465-5197
Mailing address
43111 7th St ELancaster, CA 93535-4749
Phone 818-451-6817
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