Individual provider · Type 1 NPI

Irene Victoria Bautista, LMHC

Mental Health Counselor · Commack, NY

NPI number 1114523479 Active

Practice location

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X014852 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1114523479

Irene Victoria Bautista, LMHC's National Provider Identifier is 1114523479, issued on Dec 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Commack, NY. The record was last updated on Sep 11, 2024.