Individual provider · Type 1 NPI
Melissa Linda Bautista, LPCC
Professional Counselor · Beaumont, CA
NPI number
1053037515
Active
Practice location
305 W 4th St
Beaumont, CA 92223-2611
Mailing address
338 Olive Ave
Beaumont, CA 92223-2654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8904 (CA) |
Professional Counselor: Definition to come...
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About NPI 1053037515
Melissa Linda Bautista, LPCC's National Provider Identifier is 1053037515, issued on Oct 17, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaumont, CA. The record was last updated on Mar 1, 2023.