Individual provider · Type 1 NPI

Susie Juliana Bautista

Marriage & Family Therapist · San Luis Obispo, CA

NPI number 1003209685 Active

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1003209685

Susie Juliana Bautista's National Provider Identifier is 1003209685, issued on Mar 6, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 6, 2015.