Gabriela Bautista
Counselor, Mental Health in Boardman, OR. Individual provider (NPI-1).
NPI number1497276653
StatusActive
Last updated in NPPESJun 28, 2017
Details
- NPI
- 1497276653
- Entity type
- Individual (NPI-1)
- Name
- Gabriela Bautista
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2017
- Last updated
- Jun 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
70362 Kunze LnBoardman, OR 97818-8013
Phone 541-481-3233 · Fax 541-481-3234
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170 · Fax 541-858-8167
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All 74 Mental Health Counselor providers in Boardman · All 129 providers in Boardman
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