Individual provider · Type 1 NPI

Miguel Bautista, CADC

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1245885474 Active

Practice location

4259 S Berkeley Ave
Chicago, IL 60653-3030

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X31818

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245885474

Miguel Bautista, CADC's National Provider Identifier is 1245885474, issued on Aug 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Aug 5, 2019.