Individual provider · Type 1 NPI

Jose Bautista, MA

Mental Health Counselor · Philadelphia, PA

NPI number 1093995573 Active

Practice location

3803 N 5th St
Philadelphia, PA 19140-3337

Call (484) 221-9136 Map

Fax (484) 221-9130

Mailing address

2030 W Tilghman St, Suite 105B
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093995573

Jose Bautista, MA's National Provider Identifier is 1093995573, issued on Nov 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2007.