Individual provider · Type 1 NPI

Miguel Angel Bautista, CO61191490

Addiction (Substance Use Disorder) Counselor · Yakima, WA

NPI number 1033856414 Active

Practice location

2280 Sr 821
Yakima, WA 98901-1017

Call (509) 307-6858 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033856414

Miguel Angel Bautista, CO61191490's National Provider Identifier is 1033856414, issued on May 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on May 17, 2022.