Individual provider · Type 1 NPI

Leticia Bautista

Mental Health Counselor · Indio, CA

NPI number 1104175389 Active

Practice location

47825 Oasis St
Indio, CA 92201-6950

Call (760) 863-8455 Map

Fax (760) 863-8587

Mailing address

41650 Maroon Town Dr, Apt C
Bermuda Dunes, CA 92203-1151

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104175389

Leticia Bautista's National Provider Identifier is 1104175389, issued on Sep 4, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indio, CA. The record was last updated on Jun 9, 2016.