Individual provider · Type 1 NPI

Yessenia Viviana Bautista

Marriage & Family Therapist · Riverside, CA

NPI number 1053959403 Active

Practice location

525 Technology Ct Ste 105
Riverside, CA 92507-2181

Mailing address

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406

Other practice locations

  • 612 S Myrtle Ave Ste 100, Monrovia, CA 91016-3406 · (626) 775-7888

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Behavior Technician 106S00000XNone listed
Marriage & Family Therapist Primary 106H00000X123126

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 1053959403

Yessenia Viviana Bautista's National Provider Identifier is 1053959403, issued on Dec 17, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Riverside, CA. The record was last updated on May 24, 2024.