Individual provider · Type 1 NPI

Jacqueline Bautista

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1053222182 Active

Practice location

218 E North St
Waverly, OH 45690-1148

Call (740) 947-6727 Map

Mailing address

522 Morse St
Waverly, OH 45690-1209

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 1053222182

Jacqueline Bautista's National Provider Identifier is 1053222182, issued on Sep 16, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Sep 16, 2026.