Anthony Bautista
Counselor, Mental Health in McHenry, IL. Individual provider (NPI-1).
NPI number1932014271
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1932014271
- Entity type
- Individual (NPI-1)
- Name
- Anthony Bautista
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | IL | Yes |
Practice location
4209 W Shamrock Ln Unit CMcHenry, IL 60050-8700
Phone 815-344-9443
Mailing address
24562 W Oak StRound Lake, IL 60073-1428
Phone 224-908-9409
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All 101 Mental Health Counselor providers in McHenry · All 2,101 providers in McHenry
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