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Laura Bautista

Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).

NPI number1487983706
StatusActive
Last updated in NPPESDec 15, 2009

Details

NPI
1487983706
Entity type
Individual (NPI-1)
Name
Laura Bautista
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2009
Last updated
Dec 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2855 W Whites Bridge Ave
Fresno, CA 93706-1231

Phone 559-268-4800

Mailing address

150 S 1st St Apt 132
Kerman, CA 93630-1041

Phone 559-268-4800

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