Jennifer Bautista
Counselor in Burien, WA. Individual provider (NPI-1).
NPI number1508440934
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1508440934
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bautista
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2021
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 61041258 | WA | Yes |
Practice location
1210 Sw 136th StBurien, WA 98166-1214
Phone 206-257-6600
Mailing address
1210 Sw 136th StBurien, WA 98166-1214
Phone 206-257-6600
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