Individual provider · Type 1 NPI

Daniel Bautista, AMFT

Marriage & Family Therapist · Stockton, CA

NPI number 1407490733 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Call (209) 468-8786 Map

Mailing address

PO Box 1642
Planada, CA 95365-1642

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X112805 (CA)
Marriage & Family Therapist Primary 106H00000XAMFT112805 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1407490733

Daniel Bautista, AMFT's National Provider Identifier is 1407490733, issued on Oct 30, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Stockton, CA. The record was last updated on Jan 5, 2024.