Individual provider · Type 1 NPI
Cortney Dawn Bautista, MS, LAC
Professional Counselor · Kingman, AZ
NPI number
1245065895
Active
Practice location
599 Hidden Canyon Rd
Kingman, AZ 86401-7254
Other practice locations
- 1740 E Beverly Ave Ste B, Kingman, AZ 86409-3564 · (928) 753-9383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-25140 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1245065895
Cortney Dawn Bautista, MS, LAC's National Provider Identifier is 1245065895, issued on Sep 4, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingman, AZ. The record was last updated on Oct 15, 2026.